Individual
MRS. STACEY M. DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
913 SW HIGGINS AVE STE 201, MISSOULA, MT 59803-1423
(406) 529-5121
Mailing address
PO BOX 134, LOLO, MT 59847-0134
(406) 529-5121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1385
MT
Other
Enumeration date
11/04/2008
Last updated
01/23/2026
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