Penni Spaan-raymond LCPC
Full Name
Penni Spaan-raymond LCPC
NPI Number
1053466144
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/25/2007
Specialties
(Taxonomies)Licenses
State
Montana
License Number
LCPC 1066
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 9243
415 N HIGGINS AVE
City
Missoula
Missoula
State
MT
MT
Postal Code
59807-9243
59802-4522
Country
US
US
Telephone Number
(406) 728-0078
(406) 728-0078
Identifiers
Identifier
740640
0255748
Identifier State
MT
MT
Identifier Issuer
BLUE CROSS BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007