Individual
JACKLYN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1601 2ND AVE N, #614, GREAT FALLS, MT 59401-3259
(406) 788-6068
Mailing address
2748 CARMEL DR, GREAT FALLS, MT 59404-3752
(406) 788-3068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1356
MT
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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