Individual
DIANE MARIE MCLAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
1119 W KENT AVE STE D, MISSOULA, MT 59801-6633
(406) 728-5224
(406) 728-5224
Mailing address
PO BOX 255, CLINTON, MT 59825-0255
(406) 728-5224
(406) 728-5224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
415
MT
101YP2500X
Professional Counselor
187
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257312
—
MT
Enumeration date
05/13/2007
Last updated
09/11/2025
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