Individual
ALISHA LEIGH LILJEGRENOLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
933 FRED BURR RD, VICTOR, MT 59875-9570
(905) 478-1298
Mailing address
933 FRED BURR RD, VICTOR, MT 59875-9570
(805) 478-1298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-64913
MT
390200000X
Student in an Organized Health Care Education/Training Program
PSB94025111
CA
Other
Enumeration date
07/18/2017
Last updated
01/23/2024
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