Individual
MS. MICHELLE RAE MOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LAC
Contact information
Practice address
33 FORT MISSOULA, MISSOULA, MT 59804-7203
(406) 721-2700
(406) 829-9518
Mailing address
33 FORT MISSOULA, MISSOULA, MT 59804-7203
(406) 721-2700
(406) 829-9518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1252 LAC
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-16133
MT
Other
Enumeration date
05/06/2008
Last updated
07/28/2016
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