Individual
KADE JESSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
(406) 541-3035
Mailing address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
(406) 541-3035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23244
MT
Other
Enumeration date
04/05/2017
Last updated
03/02/2021
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