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General NPI Number Information
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NPI Number | 1205340379
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Entity Type | Individual
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Provider Name | JENNA PHILLIPS LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1643 24TH ST W STE 309
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City | BILLINGS
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State | MT
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Zip | 59102-2677
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Country | US
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Telephone | 406-480-4984
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 24TH ST W STE 309
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City | BILLINGS
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State | MT
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Zip | 59102-2677
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Country | US
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Telephone | 406-480-4984
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | BBH-LCPC-NIC-19469
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License Number State | MT
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