Individual
KOURTNEY DEBRUYCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 10TH AVE S STE 200, GREAT FALLS, MT 59405-2619
(406) 498-6903
Mailing address
1521 STARR RD, FLOWEREE, MT 59440-9024
(406) 498-6903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50141
MT
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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