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Organization
POPPY AND SAGE COUNSELING PLLC
Active
Organization
POPPY AND SAGE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON R LOLLAR PHD, LPC, LCPC, NCC (OWNER AND THERAPIST)
(361) 446-0602
Entity
Organization
Contact information
Practice address
2713 OSHAUGHNESY ST, MISSOULA, MT 59808-1329
(469) 630-1615
Mailing address
PO BOX 18281, MISSOULA, MT 59808-8281
(469) 630-1615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386323681
—
MT
Enumeration date
12/16/2024
Last updated
12/16/2024
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