Organization
JOLLIFF COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KIETH JOLLIFF MS (OWNER/THERAPIST)
(208) 420-5613
Entity
Organization
Contact information
Practice address
401 N WYOMING ST, BUTTE, MT 59701-8825
(208) 420-5613
Mailing address
401 N WYOMING ST, BUTTE, MT 59701-8825
(208) 420-5613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC-522
MT
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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