Individual
MS. DONNA M RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LCPC
Contact information
Practice address
210 N HIGGINS AVE, #326, MISSOULA, MT 59802-4462
(406) 327-8944
Mailing address
PO BOX 8842, MISSOULA, MT 59807-8842
(406) 327-8944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
560 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000253572
—
MT
Enumeration date
01/02/2007
Last updated
07/08/2007
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