Organization
GLACIER TRAILS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRAN EASTHAM (MENTAL HEALTH THERAPIST)
(406) 414-9623
Entity
Organization
Contact information
Practice address
2601 S 3RD ST W, MISSOULA, MT 59804-1143
(406) 414-9623
Mailing address
PO BOX 16331, MISSOULA, MT 59808-6331
(406) 414-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
09/13/2024
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