Jonathan Baum LCSW
Clinical Social Worker in Kalispell, MT(View on Map)
Full Name
Jonathan Baum LCSW
NPI Number
1184049785
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/19/2014
Specialties
(Taxonomies)Licenses
State
Montana
License Number
6711
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 491
1077 WHITEFISH STAGE
City
Kila
Kalispell
State
MT
MT
Postal Code
59920-0491
59901-2735
Country
US
US
Telephone Number
(406) 471-2173
(406) 471-2173
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/13/2020