Individual
MS. GWENDOLYN AILIVE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
321 E MAIN ST, SUITE 201, BOZEMAN, MT 59715-6241
(425) 213-4377
Mailing address
PO BOX 211, EMIGRANT, MT 59027-0211
(425) 213-4377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-4704
MT
Other
Enumeration date
07/13/2011
Last updated
05/22/2016
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