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Individual

LEELA ROBERT-DVARISHKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1246 S 6TH ST W, MISSOULA, MT 59801-3539
(406) 531-7800
Mailing address
1246 S 6TH ST W, MISSOULA, MT 59801-3539
(406) 531-7800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
BBH-LCPC-LIC-46221
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-46221
MT
101YP2500X
Professional Counselor
BBH-LCPC-LIC-46221
MT

Other

Enumeration date
12/16/2020
Last updated
12/16/2020
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