Individual
SYDNEY LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
126 E BROADWAY ST STE A, MISSOULA, MT 59802-4593
(802) 274-0769
Mailing address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(802) 274-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-81254
MT
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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