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Individual

JANE MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCLC

Contact information

Practice address
714 STONERIDGE DR STE 1, BOZEMAN, MT 59718-7046
(406) 595-1374
Mailing address
332 KIMBALL AVE, BOZEMAN, MT 59718-2009

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39650
MT

Other

Enumeration date
09/20/2021
Last updated
09/20/2021
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