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Individual

ELISABETH MONTANA PURDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
120 23RD AVE NE, GREAT FALLS, MT 59404-1445
(406) 453-6784
(406) 453-6793
Mailing address
120 23RD AVE NE, GREAT FALLS, MT 59404-1445
(406) 453-6784
(406) 453-6793

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 1189
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256737
MT
01
GROUP
GROUP DEFAULT
MT
Enumeration date
07/05/2005
Last updated
04/09/2008
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