Individual
JAKE THOMAS RAYNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 AVANTA WAY STE 2, BILLINGS, MT 59102-6921
(406) 272-6228
Mailing address
2058 CLUBHOUSE WAY APT 4, BILLINGS, MT 59105-3448
(406) 855-4224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-72095
MT
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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