Organization
GRANITE COUNSELING OF MONTANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE POLANCHEK LCSW (OWNER/CLINICIAN)
(406) 360-3157
Entity
Organization
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 360-3157
Mailing address
4010 HERITAGE WAY, MISSOULA, MT 59802-3050
(406) 360-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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