Michelle Moles Lcsw Lac | |
101 E Broadway St Ste 602 Missoula MT 59802-4594 | |
(406) 529-9362 | |
Not Available |
Full Name | Michelle Moles Lcsw Lac |
---|---|
Speciality | Community/behavioral Health |
Location | 101 E Broadway St Ste 602, Missoula, Montana |
Authorized Official Name and Position | Michelle R Moles (COUNSELOR) |
Authorized Official Contact | 4065293629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michelle Moles Lcsw Lac 101 E Broadway St Ste 602 Missoula MT 59802-4594 Ph: (406) 529-9362 | Michelle Moles Lcsw Lac 101 E Broadway St Ste 602 Missoula MT 59802-4594 Ph: (406) 529-9362 |
NPI Number | 1134641640 |
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Provider Enumeration Date | 07/17/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134641640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 16133 (Montana) | Primary |
251S00000X | Community/behavioral Health | 1252 (Montana) | Secondary |
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