Individual
JAMIE MARIE FANGSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
919 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 970-9770
Mailing address
143 ERICKSON CT N, BILLINGS, MT 59105-2346
(406) 672-1352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-PCLC-APP-78450
MT
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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