Individual
SUSAN JEDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FAIRWAY DR, SUITE 202, BOZEMAN, MT 59715-5806
(406) 223-5480
Mailing address
2050 FAIRWAY DR, SUITE 202, BOZEMAN, MT 59715-5806
(406) 223-5480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SWP-LCPC-LIC-4668
MT
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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