Jennie Lynn Stanley | Bozeman, MT • PECOS Search

Jennie Lynn Stanley

Counselor

Behavioral Health & Social Service Providers

121 W Kagy Blvd Ste N, Bozeman, MT 59715-6042

PECOS Enrollment

Based on the most recent information from CMS, provider Jennie Lynn Stanley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1659858629
Provider Type
Individual
Full Name
Stanley, Jennie Lynn
Credential
MS, NCC, LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/23/2018
Last Updated
11/3/2023

Contact Information

Practice Location

121 W Kagy Blvd Ste N, Bozeman, MT 59715-6042

Unlisted Fax

Mailing Location

121 W Kagy Blvd Ste N, Bozeman, MT 59715-6042

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 31669 Montana