Individual
JENNIFER KATE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
300 W BROADWAY ST STE 2, MISSOULA, MT 59802-4126
(406) 370-5162
Mailing address
PO BOX 8011, MISSOULA, MT 59807-8011
(406) 370-5162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
38104
MT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
07/01/2021
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