NPI 1124485586 · live from the CMS NPI Registry
Jennifer Bain
Counselor in Bozeman, MT. National Provider Identifier 1124485586, active.
NPI record
| NPI | 1124485586 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 1996 Little Cottage Ln Apt 9, Bozeman, MT 59715 |
| Practice phone | 406-586-7689 |
| Mailing address | Po Box 752, Bozeman, MT 59771 |
| Enumerated | January 15, 2016 |
| Last updated | January 15, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | SWPLCPCLIC4673 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.