Organization
JEFFREY K. ELLENS, PH.D. PLC
Active
Other names
Lotus Counseling of Montana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER BOLING (OFFICE MANAGER/OWNER)
(619) 807-7143
Entity
Organization
Contact information
Practice address
106 E BABCOCK ST STE 1B, BOZEMAN, MT 59715-4820
(406) 577-2410
(406) 573-1070
Mailing address
1045 76TH ST, SUITE 3030, WEST DES MOINES, IA 50266-5834
(515) 777-3388
(515) 777-3387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001132
IA
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
05/16/2023
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