Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MT |
NPI | 1003185166 |
---|---|
Provider Name | Mrs. Jennipher Kay Doyle |
First Address | Billings, MT 59102-6057 |
Second Address | Billings, MT 59102-6057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2011 |
Last Update Date | 19/12/2011 |