Individual
MRS. KRISTIN NICOLE FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 VENTURE WAY, BOULDER, MT 59632
(406) 225-4610
(406) 225-3464
Mailing address
PO BOX 1088, 105 VENTURE WAY, BOULDER, MT 59632-1088
(406) 225-4610
(406) 225-3464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-7559
MT
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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