Individual
JESSICA MICHAELA HENNAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 EASTSIDE HWY, CORVALLIS, MT 59828-9616
(406) 360-8221
(406) 360-8221
Mailing address
2200 EASTSIDE HWY, CORVALLIS, MT 59828-9616
(406) 360-8221
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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