Individual
JENNIFER SCOTT NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
(406) 588-8361
Mailing address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
(406) 588-8361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
72169
MT
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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