Individual
JENNIFER CERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
521 N ORANGE ST, MISSOULA, MT 59802-4128
(406) 426-1194
Mailing address
400 W BROADWAY ST., STE 101 - BOX #606, MISSOULA, MT 59802
(406) 426-1194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-59788
MT
Other
Enumeration date
04/28/2022
Last updated
12/09/2022
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