Organization
MINDFUL CHAOS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYENNE WHITE SWLC, LAC (MANAGER)
(406) 270-6265
Entity
Organization
Contact information
Practice address
30 2ND ST E STE B28, KALISPELL, MT 59901-4563
(406) 270-6265
Mailing address
30 2ND ST E STE B28, KALISPELL, MT 59901-4563
(406) 270-6265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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