Organization
GLACIER COUNSELING AND ANIMAL ASSISTED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER LEE SMITH LCPC (OWNER)
(509) 630-3107
Entity
Organization
Contact information
Practice address
127 W. MAIN STREET, SIGNAL SQUARE SUIT A, HAMILTON, MT 59840
(509) 630-3107
Mailing address
2035 POPPY LN, CORVALLIS, MT 59828-9629
(509) 630-3107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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