Individual
MS. JESSICA LEE PIERZINA LENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
251 EDELWEISS DR, STE 1B, BOZEMAN, MT 59718-3933
(408) 482-2539
(406) 794-0367
Mailing address
251 EDELWEISS DR, STE 1B, BOZEMAN, MT 59718-3933
(408) 482-2539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCS 25856
CA
101YM0800X
Mental Health Counselor
Primary
SWP-LCSW LIC-8029
MT
1041C0700X
Clinical Social Worker
ASW 18783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M011006526
PTAN
MT
Enumeration date
11/10/2006
Last updated
04/24/2017
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