Individual
MRS. JANE ELIZABETH DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1315 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9834
Mailing address
115 S TRAVOIS, MISSOULA, MT 59808-1840
(406) 214-6976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-50424
MT
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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