Provider Demographics
NPI:1871979922
Name:JARES, JAYME (LCSW, LAC)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:JARES
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 N 31ST ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1256
Mailing Address - Country:US
Mailing Address - Phone:406-969-2273
Mailing Address - Fax:
Practice Address - Street 1:490 N 31ST ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1256
Practice Address - Country:US
Practice Address - Phone:406-969-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLAC-LAC-LIC-1424101YA0400X
MTSWP-LCSW-LIC-44491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)