Ponderosa Counseling and Therapeutic Services, LLC
NPI #1700403243 in White Sulphur Springs, Montana
Provider Information
- NPI Number
- 1700403243
- Entity Type
- Organization
- Organization Name
- Ponderosa Counseling and Therapeutic Services, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 1, 2020
- Last Updated
- Mar 24, 2022
Practice Location
- Address
- 209 S CENTRAL AVE RM 304
- State
- Montana
- ZIP Code
- 59645-9086
- Phone
- (406) 640-3242
Authorized Official
- Name
- KYLE JACOBSEN, LCSW
- Title
- OWNER
- Phone
- (406) 640-3242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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