Organization
PONDEROSA COUNSELING AND THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE JACOBSEN LCSW (OWNER)
(406) 640-3242
Entity
Organization
Contact information
Practice address
643 DENVER ST STE 100, WHITEFISH, MT 59937-3498
(406) 640-3242
Mailing address
704 13TH ST E., STE C, PMB# 660, WHITEFISH, MT 59937
(406) 640-3242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
05/18/2026
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