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NPI Code Detail

MEDICARE: JENNIFER VANCE LCSW

MEDICARE: JENNIFER VANCE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerBBH-LCSW-LIC-61717MT

General Provider Information

NPI Number : 1376291831
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER VANCE LCSW
Provider Business Mailing Address
First Line : 208 N 28TH ST STE 313
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1942
Country : US
Telephone Number : 406-839-3399
Fax Number :
Provider Business Practice Location Address
First Line : 208 N 28TH ST STE 313
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1942
Country : US
Telephone Number : 406-839-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2022
Last Update Date : 07/02/2025

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