Individual ProviderJennifer GoldmanCounselorBehavioral Health & Social Service ProvidersPractice Address2023 Stadium Dr, Suite 1c, Bozeman, MT 59715-0613(406) 570-3188PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Goldman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588003438Provider TypeIndividualFull NameGoldman, JenniferCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date6/24/2013Last Updated6/24/2013Contact InformationPractice LocationPractice Address2023 Stadium Dr, Suite 1c, Bozeman, MT 59715-0613Phone(406) 570-3188FaxUnlisted FaxMailing LocationMailing Address2023 Stadium Dr, Suite 1c, Bozeman, MT 59715-0613Phone(406) 570-3188FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2433Montana