Organization
COE A DOLVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COE DOLVEN (PROVIDER/OWNER)
(406) 544-0489
Entity
Organization
Contact information
Practice address
3700 S RUSSELL ST STE B110, MISSOULA, MT 59801-8574
(406) 544-0489
Mailing address
1113 LANCE LN, STEVENSVILLE, MT 59870-6204
(406) 544-0489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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