Organization
MICHELLE MOLES LCSW LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE R MOLES LCSW, LAC (COUNSELOR)
(406) 529-3629
Entity
Organization
Contact information
Practice address
101 E BROADWAY ST STE 602, MISSOULA, MT 59802-4594
(406) 529-9362
Mailing address
101 E BROADWAY ST STE 602, MISSOULA, MT 59802-4594
(406) 529-9362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1252
MT
251S00000X
Community/Behavioral Health Agency
Primary
16133
MT
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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