Individual
MS. CHRISTINE MICHELE NICKLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 GREAT NORTHERN AVE APT G31, MISSOULA, MT 59808-1650
(406) 529-2609
(406) 258-0656
Mailing address
PO BOX 17159, MISSOULA, MT 59808-7159
(406) 529-2609
(406) 258-0656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15012
MT
Other
Enumeration date
01/10/2016
Last updated
11/05/2020
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