Individual
MR. CARROLL GARDNER JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC, SAP
Contact information
Practice address
1002 N BENTON AVE, HELENA, MT 59601-2752
(406) 442-3045
(406) 442-3144
Mailing address
1002 N BENTON AVE, HELENA, MT 59601-2752
(406) 442-3045
(406) 442-3144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
672
MT
1041C0700X
Clinical Social Worker
59
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500240
—
MT
01
—
70070
PROVIDER NUMBER BC BS
MT
Enumeration date
12/15/2006
Last updated
09/11/2025
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