Individual
MRS. CALLIE MONROE WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1621 S 9TH ST W, MISSOULA, MT 59801-3434
(406) 546-4043
Mailing address
1621 S 9TH ST W, MISSOULA, MT 59801-3434
(406) 546-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-39115
MT
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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