Healthcare Provider Details

I. General information

NPI: 1992018865
Provider Name (Legal Business Name): JENNIFER L. HILL LCPC, LAC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE ELMO DR STE 6
BILLINGS MT
59105-1798
US

IV. Provider business mailing address

1540 LAKE ELMO DR STE 6
BILLINGS MT
59105-1798
US

V. Phone/Fax

Practice location:
  • Phone: 406-969-5183
  • Fax:
Mailing address:
  • Phone: 406-969-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1157
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLAT-342
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-1206
License Number StateWY
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1491
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: