Individual
MRS. JILLIAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
321 E MAIN ST STE 319, BOZEMAN, MT 59715-4721
(406) 359-6352
Mailing address
321 E MAIN ST STE 319, BOZEMAN, MT 59715-4721
(406) 359-6352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
61437708
WA
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-62685
MT
101YM0800X
Mental Health Counselor
MC61189885
WA
Other
Enumeration date
04/15/2021
Last updated
07/31/2023
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