Provider Demographics
NPI:1942494109
Name:GOCHIN, JENI RUTH (LMFT, LCPC)
Entity Type:Individual
Prefix:
First Name:JENI
Middle Name:RUTH
Last Name:GOCHIN
Suffix:
Gender:F
Credentials:LMFT, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6774
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59771-6774
Mailing Address - Country:US
Mailing Address - Phone:406-551-4535
Mailing Address - Fax:406-551-1207
Practice Address - Street 1:14 S WILLSON AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6232
Practice Address - Country:US
Practice Address - Phone:406-551-4535
Practice Address - Fax:406-551-1207
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT75106H00000X
CA49898106H00000X
MT2414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist