Organization
LEIGH FAHLQUIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIGH TABOR FAHLQUIST LCPC (OWNER)
(406) 465-1276
Entity
Organization
Contact information
Practice address
1159 TOUCAN RD., HELENA, MT 59602
(406) 465-1276
Mailing address
PO BOX 9717, HELENA, MT 59604-9717
(406) 465-1276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1005
MT
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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