Individual
HANA SHEWAMOLTOT MESHESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 924-9524
Mailing address
GRANITE COUNSELING OF MONTANA, 91 CAMPUS DRIVE PMB #2601, MISSOULA, MT 59801
(406) 303-1794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-38018
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-55286
MT
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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