MISSOULA FAMILY THERAPY LLC NPI 1750712808

NPI Information

MISSOULA FAMILY THERAPY, LLC is a professional counselor in Missoula, MT. MISSOULA FAMILY THERAPY, LLC NPI is 1750712808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 E BROADWAY ST STE 204
MISSOULA, MT
ZIP 59802-592
Phone: (406) 370-4664

The provider's authorized official is Stacy Jennings .
The authorized official title is Lmft, Lcpc and has the following contact phone number (406) 370-4664.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 1/15/2014.

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:

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