Organization · Type 2 NPI
Mavis Vaillancourt LCSW Lac LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Libby, MT
NPI number
1699229682
Active
Practice location
415 Louisiana Ave
Libby, MT 59923-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
About NPI 1699229682
Mavis Vaillancourt LCSW Lac LLC's National Provider Identifier is 1699229682, issued on Aug 8, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Libby, MT. The record was last updated on Mar 12, 2025.