Cynthia L. Willenbrock MA, LAC, PCLC
Addiction (Substance Use Disorder) Counselor in Missoula, MT(View on Map)
Full Name
Cynthia Lee Willenbrock MA, LAC, PCLC
NPI Number
1457131948
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/02/2023
Specialties
(Taxonomies)Code
101YA0400X
101YM0800X
Primary Taxonomy
Yes
No
Licenses
State
Minnesota
Montana
Montana
License Number
306543
63194
64741
Contact
Information
Purpose
Mailing
Location
Address
938 LONGSTAFF ST
938 LONGSTAFF ST
City
Missoula
Missoula
State
MT
MT
Postal Code
59801-3602
59801-3602
Country
US
US
Telephone Number
(314) 306-5008
(314) 306-5008
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/02/2023
Provider Address
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