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NPI Code Detail

MEDICARE: MRS. ELIZABETH GLENN JAMES M.S., C.R.C.

MEDICARE: MRS. ELIZABETH GLENN JAMES M.S., C.R.C.
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

General Provider Information

NPI Number : 1477868859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH GLENN JAMES M.S., C.R.C.
Provider Business Mailing Address
First Line : 205 E PARK AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-2340
Country : US
Telephone Number : 406-563-8117
Fax Number : 406-563-5956
Provider Business Practice Location Address
First Line : 1811 W KOCH ST
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-4127
Country : US
Telephone Number : 406-587-1181
Fax Number : 406-587-1801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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