MOUA KO MOUA LAC SWLC NPI 1467110726

NPI Information

NPI: 1467110726
Provider Name: MOUA KO MOUA, LAC, SWLC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2620 CONNERY WAY
MISSOULA, MT
ZIP 59808
Phone: (406) 203-9948
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Moua Ko Moua, LAC, SWLC is an addiction (substance use disorder) counselor in Missoula, MT. Moua Ko Moua, LAC, SWLC NPI is 1467110726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2620 CONNERY WAY
MISSOULA, MT
ZIP 59808-325
Phone: (406) 203-9948
Fax: (406) 203-9949

The enumeration date for this NPI number is 12/3/2021 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		BBH-SWLC-LIC-50445	MONTANA	No
2	1041C0700X	Social Worker	Clinical	BBH-SWLC-LIC-50445	MONTANA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BBH-LAC-LIC-64332	MONTANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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