Individual
MS. JACKIE RENEE' MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 FAIRWAY DR, HELENA, MT 59601-0119
(406) 443-2343
Mailing address
144 FAIRWAY DR, HELENA, MT 59601-0119
(406) 443-2343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1236LAC
MT
101YM0800X
Mental Health Counselor
Primary
—
MT
Other
Enumeration date
10/29/2007
Last updated
09/18/2009
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