Male or Other

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)

Code

1041C0700X

Primary Taxonomy

Yes

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

Provider Address

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