NPI 1487433173 · live from the CMS NPI Registry
Jennifer Racicot Bardsley, MA
Counselor, Professional in Missoula, MT. National Provider Identifier 1487433173, active.
NPI record
| NPI | 1487433173 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1032 Sherwood St, Missoula, MT 59802 |
| Practice phone | 406-546-7443 |
| Enumerated | September 22, 2023 |
| Last updated | September 22, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | BBH-PCLC-LIC-57473 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.