Organization
ALEMBIC PSYCHOTHERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR STAMPLEY LCSW (PRESIDENT)
(406) 728-4791
Entity
Organization
Contact information
Practice address
725 W ALDER ST, STE. 28, MISSOULA, MT 59802-4026
(406) 728-4791
(406) 728-4791
Mailing address
3505 W FORK PETTY CREEK RD, ALBERTON, MT 59820-9313
(406) 728-4791
(406) 728-4791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
162LCSW
MT
Other
Enumeration date
03/30/2012
Last updated
06/15/2012
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