Individual
KATE SHOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 493-0143
Mailing address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 493-0143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-72352
MT
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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