Individual
JAKE GIFFUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 N HIGGINS AVE STE 307E, MISSOULA, MT 59802-4486
(631) 291-3294
Mailing address
1513 NORTH AVE W, MISSOULA, MT 59801-5503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10269706-6006
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-55608
MT
Other
Enumeration date
08/08/2018
Last updated
09/18/2025
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