Individual
JACLYN SUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
(406) 791-9277
Mailing address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
(406) 791-9277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-50450
MT
Other
Enumeration date
08/17/2021
Last updated
01/27/2023
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