Stacey De Witt Lcpc Llc (stacey M De Witt Sole Mbr)
Mental Health Counselor in Missoula, MT(View on Map)
Legal Business Name
Stacey De Witt Lcpc Llc (stacey M De Witt Sole Mbr)
NPI Number
1003657131
NPI Type
Organization
Enumeration Date
06/03/2024
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 134
725 W ALDER ST STE 10
City
Lolo
Missoula
State
MT
MT
Postal Code
59847-0134
59802-4099
Country
US
US
Telephone Number
(406) 529-5121
(406) 529-5121
Authorized Official
Name
Stacey De Witt
Title or Position
OWNER/THERAPIST
Telephone Number
(406) 529-5121
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/03/2024
Provider Address
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