Individual
BRANDY J VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
140 N RUSSELL ST, MISSOULA, MT 59801-1704
(406) 532-8426
(406) 224-4402
Mailing address
529 CAYUSE TRL, BOZEMAN, MT 59718-8049
(406) 253-3743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-30942
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14273561
CAQH
—
Enumeration date
06/20/2018
Last updated
06/20/2018
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