Individual
JENSA RAE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
Mailing address
1801 13TH AVE S, GREAT FALLS, MT 59405-4808
(406) 799-4071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-78709
MT
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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