Individual
JOLENE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 N MONTANA ST, DILLON, MT 59725-8497
(406) 683-4305
(406) 683-9767
Mailing address
PO BOX 527, DILLON, MT 59725-0527
(406) 683-4305
(406) 683-9767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-LIC-4136
MT
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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