Jack, Jeremy Wallace

Jack, Jeremy Wallace is an individual health care provider with primary practice located at 1411 Main St Ste B-C , Billings MT 59105-1712. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Jack, Jeremy Wallace can be contacted via phone (406) 606-9552.

Contact Information

Primary practice address
1411 Main St Ste B-C Billings MT 59105-1712
Phone: (406) 606-9552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 31177 Montana

Profile Details

NPI number 1396039897
LBN Legal business name Jack, Jeremy Wallace
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2011
Last updated Aug 31st, 2020 - about 5 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.

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