Individual
MAUREEN CORDIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1410 S RESERVE ST STE C, MISSOULA, MT 59801-4701
(406) 459-7636
(406) 830-3144
Mailing address
6743 LINDA VISTA BLVD, MISSOULA, MT 59803-2769
(406) 459-7636
(406) 830-3144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4492
MT
Other
Enumeration date
04/25/2013
Last updated
02/15/2022
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