Individual
AIMEE LEE HEAVYRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5767 W HARRIER DR STE 201, MISSOULA, MT 59808-1053
(406) 647-0167
Mailing address
5767 W HARRIER DR STE 201, MISSOULA, MT 59808-1053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
71630
MT
101YM0800X
Mental Health Counselor
79533
—
Other
Enumeration date
11/17/2022
Last updated
05/15/2025
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