Organization
CLOVER PEDIATRIC AND ADOLESCENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SHEPHERD LCPC (OWNER)
(406) 250-9744
Entity
Organization
Contact information
Practice address
805 24TH ST W STE 8B, BILLINGS, MT 59102-3835
(406) 250-9744
Mailing address
805 24TH ST W STE 8B, BILLINGS, MT 59102-3835
(406) 250-9744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
10/02/2024
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