Individual
RAYLENE VASSAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
202 BROOKS ST, MISSOULA, MT 59801-4019
(406) 926-1453
(406) 926-1453
Mailing address
202 BROOKS ST FL 3, MISSOULA, MT 59801-4019
(406) 207-9411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-56837
MT
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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