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NPI Code Detail

MEDICARE: TERRY JESSEE LCPC

MEDICARE: TERRY JESSEE 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
1101Y00000XCounselor1197MT

General Provider Information

NPI Number : 1568674174
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY JESSEE LCPC
Provider Business Mailing Address
First Line : 704 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0913
Country : US
Telephone Number : 406-259-8800
Fax Number : 406-259-4400
Provider Business Practice Location Address
First Line : 704 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0913
Country : US
Telephone Number : 406-259-8800
Fax Number : 406-259-4400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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