Jacobsen, Kyle Adam

Jacobsen, Kyle Adam is an individual health care provider with primary practice located at 209 S Central Ave Rm 304 , White Sulphur Springs MT 59645-9086. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobsen, Kyle Adam can be contacted via phone (406) 640-3242.

Contact Information

Primary practice address
209 S Central Ave Rm 304 White Sulphur Springs MT 59645-9086
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033655253
LBN Legal business name Jacobsen, Kyle Adam
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2017
Last updated Mar 24th, 2022 - about 2 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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