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NPI Code Detail

MEDICARE: JENNIFER JONES HURWITZ LCPC

MEDICARE:   JENNIFER JONES HURWITZ  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor1396MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000745400OTHERMTBLUE CROSS-SHIELD OF MONTANA

General Provider Information

NPI Number : 1427285584
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JONES HURWITZ LCPC
Provider Business Mailing Address
First Line : PO BOX 502
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-0502
Country : US
Telephone Number : 406-547-4800
Fax Number :
Provider Business Practice Location Address
First Line : 16 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-9036
Country : US
Telephone Number : 406-547-3321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 03/01/2024

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