Medicine Lodge Counseling Pllc
Professional Counselor in Missoula, MT(View on Map)
Legal Business Name
Medicine Lodge Counseling Pllc
NPI Number
1619465788
NPI Type
Organization
Enumeration Date
04/24/2018
Specialties
(Taxonomies)Licenses
State
Montana
License Number
4654
Contact
Information
Purpose
Mailing
Location
Address
14098 JENNY ANN CT UNIT A
2809 GREAT NORTHERN LOOP STE 210-5
City
Missoula
Missoula
State
MT
MT
Postal Code
59808-5386
59808-1749
Country
US
US
Telephone Number
(406) 360-8470
(406) 360-8470
Authorized Official
Name
Pamela Wilson
Title or Position
CLINICAL MENTAL HEALTH COUNSELOR
Telephone Number
(406) 360-8470
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/16/2018
Provider Address
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