Individual
JENNIFER AMANDA FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
13 S WILLSON AVE STE 9, BOZEMAN, MT 59715-4610
(917) 716-7829
Mailing address
2272 NE KELLY ANN CT, MCMINNVILLE, OR 97128-8298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L12224
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/11/2017
Last updated
01/22/2025
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