Individual
JASON PETER EVANGELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
900 BARRETT RD, BILLINGS, MT 59105-4179
(406) 281-8615
Mailing address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-15
MT
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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