Individual
JEANNE DUSSAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
800 2ND ST S, GREAT FALLS, MT 59405-4002
(406) 453-5434
(406) 452-9040
Mailing address
800 2ND ST S, GREAT FALLS, MT 59405-4002
(406) 453-5434
(406) 452-9040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
217
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256503
—
MT
01
—
741830
BLUECROSS BLUESHIELD
MT
Enumeration date
07/22/2006
Last updated
07/08/2007
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