Illumination Counseling Pllc | |
2601 S 3rd St W Missoula MT 59804-1143 | |
(406) 207-7467 | |
Not Available |
Full Name | Illumination Counseling Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2601 S 3rd St W, Missoula, Montana |
Authorized Official Name and Position | Mary Zimmerman (OWNER) |
Authorized Official Contact | 4062077467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illumination Counseling Pllc 321 Speedway Ave Missoula MT 59802-5474 Ph: (406) 207-7467 | Illumination Counseling Pllc 2601 S 3rd St W Missoula MT 59804-1143 Ph: (406) 207-7467 |
NPI Number | 1023749496 |
---|---|
Provider Enumeration Date | 06/17/2022 |
Last Update Date | 06/17/2022 |
Certification Date | 06/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023749496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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