Individual
TAYLOR MICHAEL DALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
2282 US HIGHWAY 93 S, KALISPELL, MT 59901-8499
(406) 890-2570
Mailing address
399 PONDEROSA LN, KALISPELL, MT 59901-6835
(770) 584-5412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-42763
MT
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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