Individual
MRS. MARY KATHRYN FAHLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
316 1ST ALY N, GLASGOW, MT 59230-1817
(406) 228-8686
Mailing address
625 4TH AVE N, GLASGOW, MT 59230-1729
(406) 228-8922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1160
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000256530
—
MT
Enumeration date
11/08/2006
Last updated
07/09/2007
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