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Organization

BIRCH BRANCH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA KAY BAMBOCK MSW, LCSW (OWNER AND PROVIDER)
(406) 253-7038
Entity
Organization

Contact information

Practice address
337 1ST AVE E, KALISPELL, MT 59901-4935
(406) 253-7038
Mailing address
337 1ST AVE E, KALISPELL, MT 59901-4935
(406) 253-7038

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/30/2026
Last updated
01/30/2026
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