Individual
MRS. MARY BARRON WOLDSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C., C.M.
Contact information
Practice address
422 MONTANA, VALIER, MT 59486
(406) 338-3671
(406) 338-3671
Mailing address
P.O. BOX 21, VALIER, MT 59486-0021
(406) 338-3671
(406) 338-3671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1156 LCPC
MT
101YP2500X
Professional Counselor
Primary
1156-LCPC
MT
101YP2500X
Professional Counselor
17659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000742990
BLUE CROSS/SHIELD OF MONT
MT
Enumeration date
07/25/2006
Last updated
11/25/2009
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