Individual
MS. JENNIFER ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 N HIGGINS AVE STE 204.2B, MISSOULA, MT 59802-4437
(917) 769-9609
Mailing address
5108 VILLAGE VIEW WAY APT 7, MISSOULA, MT 59803-3400
(917) 769-9609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
011099
CT
1041C0700X
Clinical Social Worker
Primary
080179
NY
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-58544
MT
Other
Enumeration date
05/26/2009
Last updated
12/03/2025
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