Individual
KANDACE KONOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E PARK AVE, ANACONDA, MT 59711-2340
(406) 563-8117
(406) 563-5956
Mailing address
205 E PARK AVE, ANACONDA, MT 59711-2340
(406) 563-8117
(406) 563-5956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-16222
MT
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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