Individual
ELLEREY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
110 S YELLOWSTONE AVE APT 4, BOZEMAN, MT 59718-1903
(208) 794-8275
Mailing address
110 S YELLOWSTONE AVE APT 4, BOZEMAN, MT 59718-1903
(208) 794-8275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
43595
MT
101YM0800X
Mental Health Counselor
Primary
62864
MT
Other
Enumeration date
08/07/2020
Last updated
05/16/2023
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