Individual
KEVIN MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 2ND ST., WHITEFISH, MT 59937
(406) 298-5728
Mailing address
320 S 2ND ST W, MISSOULA, MT 59801-1840
(847) 337-2556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-50371
MT
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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