| 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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