Provider Demographics
NPI:1326392622
Name:HARRINGTON, JACILINE R (LAC)
Entity Type:Individual
Prefix:MRS
First Name:JACILINE
Middle Name:R
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2607
Mailing Address - Country:US
Mailing Address - Phone:406-869-6860
Mailing Address - Fax:
Practice Address - Street 1:1331 1ST AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2607
Practice Address - Country:US
Practice Address - Phone:406-869-6860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND00192101YA0400X
MT3405101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)