Individual
MR. JERRE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 REES RD, ANACONDA, MT 59711-2050
(361) 816-1968
Mailing address
116 REES RD, ANACONDA, MT 59711-2050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-24701
MT
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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