Individual
MAEGAN RIDES AT THE DOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4744 SONOMA ST, MISSOULA, MT 59808-9671
(406) 880-0222
Mailing address
4744 SONOMA ST, MISSOULA, MT 59808-9671
(406) 880-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-24043
MT
Other
Enumeration date
02/05/2019
Last updated
05/01/2023
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