Search › Montana › 101YM0800X
Melody Jackson, LCPC
NPI 1841790524 · on the registry since 2018
Practice
- Address
- 699 Farmhouse Ln
Bozeman, MT 59715 - Phone
- (406) 556-6500
- Fax
- (406) 333-0627
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana