| Organization Name: | WELCOME HOUSE COUNSELING SERVICES |
| NPI Number: | 1700163920 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY LEE KIRK (THERAPIST) |
| Mailing Address: | 500 South Avenue Apt.2 Noxon |
| State: | MT US |
| Postal Code: | 59853 |
| Phone Number: | 4066702877 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2011 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1452 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |