Individual
MR. GEORGE J. WALKER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC MHP
Contact information
Practice address
210 N HIGGINS AVE STE 234, MISSOULA, MT 59802-4497
(406) 203-3064
(406) 642-7037
Mailing address
210 N HIGGINS AVE STE 234, MISSOULA, MT 59802-4497
(406) 203-3064
(406) 642-7037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1044
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287045
—
MT
Enumeration date
08/09/2006
Last updated
10/24/2016
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