Individual
PAIGE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
90 TIGER ST, SAINT REGIS, MT 59866-9757
(406) 649-2311
Mailing address
4206 EXPRESSWAY APT 7, MISSOULA, MT 59808-1448
(406) 649-2311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWP-LCPC-LIC-12073
MT
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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