Individual
H. JO KIMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCPC
Contact information
Practice address
3700 S RUSSELL ST, SUITE 120-8, MISSOULA, MT 59801-8574
(406) 542-7027
(406) 543-0602
Mailing address
3700 S RUSSELL ST, SUITE 120-8, MISSOULA, MT 59801-8574
(406) 542-7027
(406) 543-0602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
872
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252909
—
MT
01
—
740223
BCBS
MT
Enumeration date
07/13/2006
Last updated
07/08/2007
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