Individual
MRS. AMANDA CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
104 COLONY CT, MISSOULA, MT 59803-3357
(715) 441-1087
(715) 441-1087
Mailing address
104 COLONY CT, MISSOULA, MT 59803-3357
(715) 441-1087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-49103
MT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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