Individual
AMBERLEE JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
Mailing address
1201 NORTH AVE W, MISSOULA, MT 59801-6601
(920) 492-0726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-55303
MT
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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