Jenkins, Carroll Gardner
Jenkins, Carroll Gardner is an sole proprietor health care provider with primary practice located at 1002 N Benton Ave , Helena MT 59601-2752. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jenkins, Carroll Gardner can be contacted via phone (406) 442-3045.Contact Information
Primary practice address
1002 N Benton Ave
Helena MT 59601-2752
Phone: (406) 442-3045
Fax: (406) 442-3144
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 672 | Montana |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 59 | Montana |
Profile Details
NPI number | 1427110303 |
---|---|
LBN Legal business name | Jenkins, Carroll Gardner |
Credentials | LCSW, LAC, SAP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2006 |
Last updated | Jul 9th, 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 | 1427110303 | NPPES |
Montana | MEDICAID | 0500240 | |
Montana | Other | 70070 |
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