Individual
GREG WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1416 WOODLAND AVE, KALISPELL, MT 59901-5147
(406) 871-9361
Mailing address
1416 WOODLAND AVE, KALISPELL, MT 59901-5147
(406) 871-9361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-13861
MT
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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