JENNA MAE BOLES LAC NPI 1265014476

NPI Information

NPI: 1265014476
Provider Name: JENNA MAE BOLES, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1312 N MERIDIAN RD
KALISPELL, MT
ZIP 59901
Phone: (406) 260-8065
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Jenna Mae Boles, LAC is an addiction (substance use disorder) counselor in Kalispell, MT. Jenna Mae Boles, LAC NPI is 1265014476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1312 N MERIDIAN RD
KALISPELL, MT
ZIP 59901-095
Phone: (406) 260-8065
Fax: (406) 756-8546

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BBH-LAC-LIC-48617	MONTANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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