Individual
MS. JESSICA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, PCLC, MA
Contact information
Practice address
700 SOUTH AVE W STE E, MISSOULA, MT 59801-8011
(406) 624-9194
Mailing address
423 W CENTRAL AVE, MISSOULA, MT 59801-6813
(808) 387-1681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-55023
MT
101YS0200X
School Counselor
224241
MT
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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