Individual
GREGORY JOSEPH KOLWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
500 S LAMBORN ST, HELENA, MT 59601-5417
(406) 241-8117
Mailing address
500 S LAMBORN ST, HELENA, MT 59601-5417
(406) 241-8117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCPC-LIC-55552
BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
05/12/2022
Last updated
05/12/2022
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