Individual
MS. KRISTEN KALLEMEYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 ROLLINS ST, MISSOULA, MT 59801-3720
(406) 546-1707
Mailing address
511 ROLLINS ST, MISSOULA, MT 59801-3720
(406) 546-1707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
861
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861
—
MT
Enumeration date
04/14/2009
Last updated
04/14/2009
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