Organization · Type 2 NPI

dba PHC Russell Elementary

Mental Health Counselor · Missoula, MT

NPI number 1215769906 Active

Practice location

3216 S Russell St
Missoula, MT 59801-8537

Call (406) 370-0487 Map

Fax (406) 258-4732

Mailing address

401 Railroad St W
Missoula, MT 59802-4178

Other practice locations

  • 401 Railroad St W, Missoula, MT 59802-4178 · (406) 258-4789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed

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About NPI 1215769906

dba PHC Russell Elementary's National Provider Identifier is 1215769906, issued on Aug 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Missoula, MT. The record was last updated on Feb 21, 2025.