Individual provider · Type 1 NPI

Jennie Eileen Bondurant, ATS, LAC

Addiction (Substance Use Disorder) Counselor · Kalispell, MT

NPI number 1689161697 Active

Practice location

1312 N Meridian Rd
Kalispell, MT 59901-3095

Fax (406) 756-8546

Mailing address

PO Box 7115
Kalispell, MT 59904-0115

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30018 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689161697

Jennie Eileen Bondurant, ATS, LAC's National Provider Identifier is 1689161697, issued on Apr 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kalispell, MT. The record was last updated on Apr 16, 2018.