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General NPI Number Information
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NPI Number | 1013812288
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Entity Type | Organization
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Legal Business Name | ONE FEATHER THERAPY LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 825 W KENT AVE STE 10
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City | MISSOULA
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State | MT
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Zip | 59801-6619
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Country | US
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Telephone | 406-282-1169
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Fax | 406-420-7641
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Provider Business Mailing Address
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Address Line | 2244 E VISTA DR
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City | MISSOULA
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State | MT
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Zip | 59803-2620
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Country | US
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Telephone | 406-282-1169
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Fax | 406-420-7641
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Authorized Official
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Title or Position | THERAPIST
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Name | SESAR JESUS BONILLA
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Credential | LCSW
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Telephone | 406-282-1169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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