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Individual

GERIANNE L GREMAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, BSW, MPA

Contact information

Practice address
1312 N MERIDIAN RD, KALISPELL, MT 59901-3095
(406) 756-6453
(406) 756-8546
Mailing address
1312 N MERIDIAN RD, KALISPELL, MT 59901-3095
(406) 756-6453
(406) 756-8546

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1337
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1337
MT LICENSE
MT
Enumeration date
11/15/2010
Last updated
11/15/2010
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