Organization · Type 2 NPI

Life Source LLC

Professional Counselor · Hamilton, MT

NPI number 1922510890 Active

Practice location

127 W Main St Ste B-2
Hamilton, MT 59840-2581

Mailing address

PO Box 127
Hamilton, MT 59840-0127

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X387-LCPC (MT)

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About NPI 1922510890

Life Source LLC's National Provider Identifier is 1922510890, issued on Oct 31, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hamilton, MT. The record was last updated on Oct 31, 2017.