Individual
JESSICA FETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1018 BURLINGTON AVE, MISSOULA, MT 59801-5675
(801) 560-2920
Mailing address
PO BOX 8554, MISSOULA, MT 59807-8554
(801) 560-2920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50615
MT
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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