Organization
ILLUMINATION COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ZIMMERMAN LCSW (OWNER)
(406) 207-7467
Entity
Organization
Contact information
Practice address
2601 S 3RD ST W, MISSOULA, MT 59804-1143
(406) 207-7467
Mailing address
321 SPEEDWAY AVE, MISSOULA, MT 59802-5474
(406) 207-7467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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