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General NPI Number Information
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NPI Number | 1649077942
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Entity Type | Individual
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Provider Name | JAIME DENISE PANDIS LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 314 N LAST CHANCE GULCH STE 217
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City | HELENA
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State | MT
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Zip | 59601-5062
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Country | US
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Telephone | 406-239-2197
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4116
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City | HELENA
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State | MT
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Zip | 59604-4116
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Country | US
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Telephone | 406-239-2197
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-62738
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License Number State | MT
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