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General NPI Number Information
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NPI Number | 1598225047
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Entity Type | Individual
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Provider Name | JENNIFER LYNN CALLAIS LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 1215 24TH ST W STE 255
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City | BILLINGS
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State | MT
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Zip | 59102-3894
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Country | US
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Telephone | 406-860-6953
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Fax | 406-206-0393
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Provider Business Mailing Address
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Address Line | PO BOX 22101
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City | BILLINGS
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State | MT
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Zip | 59104-2101
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Country | US
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Telephone | 406-860-6953
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Fax | 406-206-0393
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-37453
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License Number State | MT
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