Individual
JENNIFER RACICOT BARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1032 SHERWOOD ST, MISSOULA, MT 59802-2662
(406) 546-7443
Mailing address
1032 SHERWOOD ST, MISSOULA, MT 59802-2662
(406) 546-7443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-57473
MT
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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