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NPI Code Detail

MEDICARE: JENNIFER PETER PCLC

MEDICARE:   JENNIFER  PETER  PCLC
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
1101YM0800XMental Health CounselorBBH-PCLC-LIC-81230MT

General Provider Information

NPI Number : 1447194816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER PETER PCLC
Provider Business Mailing Address
First Line : 1050 S 25TH ST W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-7417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1050 S 25TH ST W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-7417
Country : US
Telephone Number : 406-656-0928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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