Provider Demographics
NPI:1649077942
Name:PANDIS, JAIME DENISE (LCPC)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:DENISE
Last Name:PANDIS
Suffix:
Gender:
Credentials: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 4116
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-4116
Mailing Address - Country:US
Mailing Address - Phone:406-239-2197
Mailing Address - Fax:
Practice Address - Street 1:3733 CUPID DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-6023
Practice Address - Country:US
Practice Address - Phone:406-239-2197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-62738101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional