Individual
LAURA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9704
(406) 496-6314
(406) 494-1724
Mailing address
1201 ELAINE DR, ANACONDA, MT 59711-2737
(406) 563-5269
(406) 563-5260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2446
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770377
—
MT
Enumeration date
02/08/2013
Last updated
02/08/2013
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