Individual provider · Type 1 NPI
Tracy Laurel Brothers, LCPC
Professional Counselor · Missoula, MT
NPI number
1316378185
Active
Practice location
1305 Wyoming Street
Missoula, MT 59804
Fax (406) 541-3034
Mailing address
3255 Lt. Moss Road
Missoula, MT 59804-7298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4780 (MT) |
Professional Counselor: Definition to come...
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About NPI 1316378185
Tracy Laurel Brothers, LCPC's National Provider Identifier is 1316378185, issued on Dec 4, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Dec 4, 2013.