Individual
JENEANE C NICODEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
518 TAMARACK CREEK RD, WHITEFISH, MT 59937
(805) 635-7108
Mailing address
424 BAKER AVE UNIT 4687, WHITEFISH, MT 59937-7114
(805) 635-7108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
128506
CA
Other
Enumeration date
03/16/2018
Last updated
03/20/2023
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