Dussault, Jeanne
Dussault, Jeanne is an sole proprietor health care provider with primary practice located at 800 2Nd St S , Great Falls MT 59405-4002. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dussault, Jeanne can be contacted via phone (406) 453-5434.Contact Information
Primary practice address
800 2Nd St S
Great Falls MT 59405-4002
Phone: (406) 453-5434
Fax: (406) 452-9040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 217 | Montana |
Profile Details
| NPI number | 1205857414 |
|---|---|
| LBN Legal business name | Dussault, Jeanne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205857414 | NPPES |
| Montana | MEDICAID | 256503 | |
| Montana | Other | 741830 |
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