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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1427110303 NPPES
Montana MEDICAID 0500240
Montana Other 70070

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