Individual
ALEXANDRA VLEISIDES PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 S. MAIN, KALISPELL, MT 59901
(406) 270-1796
Mailing address
350 N MERIDIAN RD # 7162, KALISPELL, MT 59901-9998
(406) 270-1796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-72353
MT
Other
Enumeration date
07/23/2024
Last updated
09/22/2024
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