Individual
KIMBERLY NOTTESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 N ORANGE ST STE 102, MISSOULA, MT 59802-2951
(406) 327-3034
(406) 327-3231
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-3034
(406) 327-3231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-23971
MT
1041C0700X
Clinical Social Worker
LCSW-34558
ID
Other
Enumeration date
04/30/2012
Last updated
12/21/2020
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