Organization
REALIZATION THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE VAILLANCOURT MCGRATH MACMHC, PCLC (OWNER)
(406) 360-8537
Entity
Organization
Contact information
Practice address
115 W 3RD ST STE 205, STEVENSVILLE, MT 59870-2034
(406) 360-8537
Mailing address
115 W 3RD ST STE 205, STEVENSVILLE, MT 59870-2034
(406) 360-8537
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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