Individual
JENNIFER HALEY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
116 DALY AVE, HAMILTON, MT 59840-2826
(406) 961-7510
Mailing address
116 DALY AVE, HAMILTON, MT 59840-2826
(406) 961-7510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-63693
MT
Other
Enumeration date
02/11/2021
Last updated
10/19/2023
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