Individual
ELLEN A TALBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
76 SPRING CREEK RD, THOMPSON FALLS, MT 59873-9432
(406) 827-4344
(406) 827-5100
Mailing address
PO BOX 1120, THOMPSON FALLS, MT 59873-1120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1304
MT
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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