Individual provider · Type 1 NPI

Petra Gerarda De Groot, LCPC

Mental Health Counselor · Missoula, MT

NPI number 1871706408 Active

Practice location

210 N Higgins Ave, Suite 327
Missoula, MT 59802-4462

Call (406) 728-7584 Map

Mailing address

PO Box 8388
Missoula, MT 59807-8388

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMT 441 (MT)

Mental Health Counselor: Definition to come...

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About NPI 1871706408

Petra Gerarda De Groot, LCPC's National Provider Identifier is 1871706408, issued on May 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Missoula, MT. The record was last updated on Jul 8, 2007.