Individual
JACQUELINE KAY BARILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 2ND AVE N STE 610, GREAT FALLS, MT 59401-3286
(406) 478-5858
Mailing address
1601 2ND AVE N STE 612, GREAT FALLS, MT 59401-3287
(406) 478-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1011-LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000070878
BLUE CROSS-SHIELD OF MONTANAN
MT
Enumeration date
06/22/2011
Last updated
11/22/2023
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