JENNIE EILEEN BONDURANT ATS LAC NPI 1689161697

NPI Information

NPI: 1689161697
Provider Name: JENNIE EILEEN BONDURANT, ATS, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1312 N MERIDIAN RD
KALISPELL, MT
ZIP 59901
Phone: (406) 756-6453
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Jennie Eileen Bondurant, ATS, LAC is an addiction (substance use disorder) counselor in Kalispell, MT. Jennie Eileen Bondurant, ATS, LAC NPI is 1689161697. 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) 756-6453
Fax: (406) 756-8546

The enumeration date for this NPI number is 4/16/2018 and was last updated on 4/16/2018.

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)	30018	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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