Individual
JESSICA HAWKSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
110 S GRAND AVE, BOZEMAN, MT 59715-4616
(406) 313-3853
Mailing address
1012 SAXON WAY, BOZEMAN, MT 59718-6671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70353
MT
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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