Individual
DR. JANA JO STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCPC
Contact information
Practice address
415 N HIGGINS AVE # 112, MISSOULA, MT 59802-4522
(406) 543-9491
Mailing address
629 BEVERLY AVE, MISSOULA, MT 59801-5919
(406) 543-9491
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 653
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000075498
BLUE CROSS/BLUE SHIELD
MT
05
—
0000250920
—
MT
Enumeration date
09/20/2006
Last updated
07/09/2007
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