Individual
LIDA A RUNNING CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC LCPC LAC
Contact information
Practice address
5767 W HARRIER DR STE 201, MISSOULA, MT 59808-1053
(406) 201-7190
Mailing address
5767 W HARRIER DR STE 201, MISSOULA, MT 59808-1053
(406) 201-7190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
30028
MT
101YP2500X
Professional Counselor
BBH-LCPC-LIC-30028
—
Other
Enumeration date
04/03/2018
Last updated
04/04/2024
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