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Organization

JAYNE ROSSO SEABROOK COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNE ROSSO SEABROOK LCSW (LICENSED CLINICAL SOCIAL WORKER)
(406) 360-3730
Entity
Organization

Contact information

Practice address
800 KENSINGTON AVE STE LL2, MISSOULA, MT 59801-5670
(406) 360-3730
Mailing address
PO BOX 3453, MISSOULA, MT 59806-3453
(406) 360-3730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-12361
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5C0F57BA44
MT
Enumeration date
05/09/2018
Last updated
05/09/2018
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