Jordt, Mary Lynn
Jordt, Mary Lynn is an individual health care provider with primary practice located at 535 E Evergreen Dr , Kalispell MT 59901-2416. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordt, Mary Lynn can be contacted via phone (406) 496-6314.Contact Information
Primary practice address
535 E Evergreen Dr
Kalispell MT 59901-2416
Phone: (406) 496-6314
Fax: (406) 494-1724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Montana |
Profile Details
| NPI number | 1265602460 |
|---|---|
| LBN Legal business name | Jordt, Mary Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Mar 4th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265602460 | NPPES |
| Montana | MEDICAID | 0255892 |
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