Juroe, Bonita Gaylon

Juroe, Bonita Gaylon is an individual health care provider with primary practice located at 160 Heritage Way , Kalispell MT 59901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Juroe, Bonita Gaylon can be contacted via phone (406) 755-4495.

Contact Information

Primary practice address
160 Heritage Way Kalispell MT 59901
Phone: (406) 755-4495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 895LCPC Montana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 27880MFT California

Profile Details

NPI number 1538220181
LBN Legal business name Juroe, Bonita Gaylon
Credentials MFT LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538220181 NPPES
Montana Other 744283 BLUE CROSS BLUE SHIELD PI

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