Individual provider · Type 1 NPI
Ellerey Jorgensen, LCPC
Mental Health Counselor · Bozeman, MT
NPI number
1487264099
Active
Practice location
110 S Yellowstone Ave Apt 4
Bozeman, MT 59718-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 43595 (MT) |
| Mental Health Counselor Primary | 101YM0800X | 62864 (MT) |
Mental Health Counselor: Definition to come...
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About NPI 1487264099
Ellerey Jorgensen, LCPC's National Provider Identifier is 1487264099, issued on Aug 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bozeman, MT. The record was last updated on May 16, 2023.