Individual
JAYANN CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-DMT, PCLC
Contact information
Practice address
139 MONACO DR, LAKESIDE, MT 59922-9710
(406) 370-4575
Mailing address
139 MONACO DR, LAKESIDE, MT 59922-9710
(406) 370-4575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-79272
MT
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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