Individual
GLENYSS AMMONS CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
725 W ALDER ST, SUITE 18, MISSOULA, MT 59802-4036
(406) 396-4066
Mailing address
907 ALICE LN, MISSOULA, MT 59804-3033
(406) 936-4066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1298-LCPC
MT
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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