Individual
PENNI SPAAN-RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
415 N HIGGINS AVE, STE #114, MISSOULA, MT 59802-4522
(406) 728-0078
(406) 728-0078
Mailing address
PO BOX 9243, MISSOULA, MT 59807-9243
(406) 728-0078
(406) 728-0078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LCPC 1066
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255748
—
MT
01
—
740640
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/25/2007
Last updated
09/11/2025
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