Individual
MS. KRISTINA MARIE GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1124 HELENA AVE, HELENA, MT 59601-3559
(406) 459-9584
Mailing address
1124 HELENA AVE, HELENA, MT 59601-3559
(406) 459-9584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
829-LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000070646
BLUE CROSS-SHIELD PROVIDER #
MT
01
—
P00692124 C01340
RAILROAD MEDICARE
MT
Enumeration date
08/07/2007
Last updated
12/12/2024
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