Individual
JERI L WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3209 WASHBURN ST, MISSOULA, MT 59801-8300
(406) 274-8784
Mailing address
3209 WASHBURN ST, MISSOULA, MT 59801-8300
(406) 274-8784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
56468
MT
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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