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Individual

DANIEL L. GREGERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
690 N MERIDIAN RD STE 204, KALISPELL, MT 59901-3508
(406) 249-5611
Mailing address
PO BOX 935, MARION, MT 59925-0935
(406) 249-5611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
838-LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000251821
MT
Enumeration date
03/23/2007
Last updated
11/27/2024
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