Individual
MR. JONATHAN SKY COVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LAC
Contact information
Practice address
113 W FRONT ST STE 108, MISSOULA, MT 59802-4332
(406) 213-5001
Mailing address
PO BOX 7444, MISSOULA, MT 59807-7444
(406) 459-1811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
39812
MT
101YM0800X
Mental Health Counselor
Primary
43445
MT
101YP2500X
Professional Counselor
43445
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14688298
CAQH
—
05
—
7320234
—
MT
Enumeration date
04/22/2020
Last updated
03/21/2024
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