NPI 1154720498

Jolene Rose

Practitioner Addiction (Substance Use Disorder) Counselor Dillon, MT

Practice location

Address: 730 N Montana St, Dillon, MT 59725-8497
Phone: (406) 683-4305
Fax: (406) 683-9767
Mailing address: PO Box 527, Dillon, MT 59725-0527

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence LAC-LAC-LIC-4136 (MT)

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Registry record

NPI: 1154720498
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2014
Record last updated: 21 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.