Provider Demographics
NPI:1669736625
Name:NESBIT, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:NESBIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:BLACKABY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 LAST CHANCE GULCH
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601
Mailing Address - Country:US
Mailing Address - Phone:406-437-2591
Mailing Address - Fax:
Practice Address - Street 1:40 LAST CHANCE GULCH
Practice Address - Street 2:IN CARE OF JANET BLACKABY
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0000
Practice Address - Country:US
Practice Address - Phone:406-437-2591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2267-LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical