Individual provider · Type 1 NPI

Jessica Fetzer, LCPC

Mental Health Counselor · Missoula, MT

NPI number 1104580133 Active

Practice location

1018 Burlington Ave
Missoula, MT 59801-5675

Call (801) 560-2920 Map

Mailing address

PO Box 8554
Missoula, MT 59807-8554

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X50615 (MT)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1104580133

Jessica Fetzer, LCPC's National Provider Identifier is 1104580133, issued on Oct 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Missoula, MT. The record was last updated on Oct 26, 2021.