Individual
VIVIANE MANFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SOUTH AVE W STE E, MISSOULA, MT 59801-8011
(406) 478-7834
Mailing address
151 HIGHMORE ST, LOLO, MT 59847-9601
(406) 478-7834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-48500
MT
Other
Enumeration date
01/16/2021
Last updated
10/08/2025
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