Individual
MS. KIM DALENE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LAC, MHPP
Contact information
Practice address
35592 ROCKY POINT RD, POLSON, MT 59860-9254
(520) 391-0561
(406) 278-6714
Mailing address
802 MAIN ST STE C, POLSON, MT 59860-3200
(406) 883-7310
(406) 883-7212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-30316
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-32044
MT
Other
Enumeration date
06/13/2018
Last updated
10/05/2018
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