Individual
JENNIFER BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1996 LITTLE COTTAGE LN APT 9, BOZEMAN, MT 59715-9440
(406) 586-7689
(406) 586-0263
Mailing address
PO BOX 752, BOZEMAN, MT 59771-0752
(406) 586-7689
(406) 586-0263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SWPLCPCLIC4673
MT
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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