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Organization
EMILY WISH, LLC
Active
Organization
EMILY WISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KIRSCHMAN MA, LCPC, NCC (THERAPIST)
(575) 749-2057
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE, GREAT FALLS, MT 59401-3179
(575) 749-2057
Mailing address
600 CENTRAL AVE, GREAT FALLS, MT 59401-3179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12475
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09977325
—
NM
Enumeration date
12/28/2015
Last updated
12/28/2015
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