MEDICARE: JENNIFER SUZANNE MURRILLO

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
1	101YM0800X	Mental Health Counselor	61563	MT

General Provider Information

NPI Number	:	1609720226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SUZANNE MURRILLO

Provider Business Mailing Address
First Line	:	2474 LOYD DR
Second Line	:
City	:	CORVALLIS
State	:	MT
Zip	:	59828-9582
Country	:	US
Telephone Number	:	406-529-9138
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 N 4TH ST
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2412
Country	:	US
Telephone Number	:	406-363-7216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2026
Last Update Date	:	02/21/2026

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