Individual
JENNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 2ND AVE NW, CHOTEAU, MT 59422
(406) 278-1452
Mailing address
PO BOX 1541, CHOTEAU, MT 59422-1541
(406) 696-1847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
24408
MT
Other
Enumeration date
06/29/2017
Last updated
09/26/2023
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