Individual
JENNIFER M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
300 W BROADWAY ST, MISSOULA, MT 59802-4126
(406) 531-4044
Mailing address
300 W BROADWAY ST, MISSOULA, MT 59802-4126
(406) 531-4044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MT
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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