Individual
JENNIFER THISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLPC
Contact information
Practice address
114 W PINE ST # 7, MISSOULA, MT 59802-4222
(406) 274-1627
Mailing address
329 E FRONT ST APT A1, MISSOULA, MT 59802-4702
(406) 552-8769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-71521
MT
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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