Organization · Type 2 NPI

Medicine Lodge Counseling PLLC

Professional Counselor · Missoula, MT

NPI number 1619465788 Active

Practice location

2809 Great Northern Loop Ste 210-5
Missoula, MT 59808-1749

Call (406) 360-8470 Map

Mailing address

14098 Jenny Ann Ct Unit A
Missoula, MT 59808-5386

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4654 (MT)

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About NPI 1619465788

Medicine Lodge Counseling PLLC's National Provider Identifier is 1619465788, issued on Apr 24, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Jun 16, 2018.