Individual
JEN ACACIA MITTELSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
54 N LAST CHANCE GULCH STE 213, HELENA, MT 59601-4179
(406) 439-2031
Mailing address
PO BOX 272, HELENA, MT 59624-0272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-50526
MT
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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