Individual
IVON L WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
81 TREASURE STATE DR, GREAT FALLS, MT 59404-3454
(406) 402-6400
Mailing address
81 TREASURE STATE DR, GREAT FALLS, MT 59404-3454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-44130
MT
Other
Enumeration date
06/23/2023
Last updated
07/05/2023
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