Individual
JESSICA KAY BAMBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2624 US HIGHWAY 2 E, KALISPELL, MT 59901-2362
(406) 273-1947
Mailing address
2624 US HIGHWAY 2 E, KALISPELL, MT 59901-2362
(406) 253-7038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56406
MT
1041C0700X
Clinical Social Worker
Primary
72397
MT
Other
Enumeration date
08/17/2023
Last updated
01/30/2026
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