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Individual

MRS. JESSE MILLER MUMFORD HEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
501 N PARK AVE, HELENA, MT 59601-2703
(406) 442-8774
(406) 442-0428
Mailing address
PO BOX 518, HELENA, MT 59624-0518
(406) 442-8774
(406) 442-0428

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-87769
MT
1041C0700X
Clinical Social Worker
Primary
978
MT

Other

Enumeration date
12/24/2010
Last updated
02/27/2026
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