Individual
MARA LIVDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
101 E BROADWAY ST STE 403, MISSOULA, MT 59802-4590
(406) 720-5236
Mailing address
101 E BROADWAY ST STE 403, MISSOULA, MT 59802-4590
(406) 720-5236
(406) 341-2326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63259
MT
101YP2500X
Professional Counselor
Primary
79078
MT
Other
Enumeration date
11/22/2023
Last updated
02/02/2026
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