Healthcare Provider Details

I. General information

NPI: 1538090899
Provider Name (Legal Business Name): JAMIE ALLISON O'CALLAGHAN PCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 STADIUM DR STE A
BOZEMAN MT
59715-0617
US

IV. Provider business mailing address

2001 STADIUM DR STE A
BOZEMAN MT
59715-0617
US

V. Phone/Fax

Practice location:
  • Phone: 406-624-6007
  • Fax: 406-321-5679
Mailing address:
  • Phone: 406-581-5343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-88939
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: