Individual
JENI LEIGH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
111 W BROADWAY ST, BUTTE, MT 59701-9223
(406) 782-6626
(406) 782-6676
Mailing address
471 E MERCURY ST, BUTTE, MT 59701-1906
(406) 782-0417
(406) 782-6964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1259
MT
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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