Organization
JEANETTE STANGL INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE MARIE STANGL LCSW LAC (PRESIDENT)
(406) 542-8461
Entity
Organization
Contact information
Practice address
821 SOUTH ORANGE ST, SACAJAWEA OFFICES, MISSOULA, MT 59801-6724
(406) 542-8461
Mailing address
415 E KENT AVE, MISSOULA, MT 59801-6021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
454
MT
Other
Enumeration date
07/10/2008
Last updated
09/26/2008
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