Organization
A GUIDING PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDEN EUGENE GREEN LPCC, LCPC (OWNER/CLINICIAN)
(406) 552-3587
Entity
Organization
Contact information
Practice address
2875 TINA AVE STE 106, MISSOULA, MT 59808-1582
(406) 552-3587
Mailing address
6315 LONE MOOSE CT, FLORENCE, MT 59833-6005
(505) 977-5376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0181451
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0686766
—
MT
05
—
42171547
—
NM
Enumeration date
05/23/2016
Last updated
07/19/2022
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