Individual
KRISTEN PROVENCE DABBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
445 S 5TH ST W, MISSOULA, MT 59801-2619
(425) 213-3771
Mailing address
1838 S 11TH ST W UNIT 100, MISSOULA, MT 59801-4834
(425) 213-3771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-72608
MT
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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