Individual
JENAYA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, PCLC
Contact information
Practice address
330 MAIN ST SW, RONAN, MT 59864-2707
(406) 676-0630
Mailing address
41701 JOE DOG DR, RONAN, MT 59864-8639
(406) 274-1258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-72217
MT
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-72188
MT
Other
Enumeration date
07/11/2024
Last updated
09/12/2024
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