Organization
EVOLUTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOCELYN M NELSON LCSW (DIRECTOR)
(406) 240-3732
Entity
Organization
Contact information
Practice address
520 S 3RD ST W, MISSOULA, MT 59801-2518
(406) 240-3732
(406) 728-4009
Mailing address
520 S 3RD ST W, MISSOULA, MT 59801-2518
(406) 240-3732
(406) 728-4009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SWP LCPC LIC 1393
MT
1041C0700X
Clinical Social Worker
SWP-LCSW-LIC-859
MT
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/25/2011
Last updated
12/17/2013
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