Individual
MS. MARY DANA MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2302 HWY 2 EAST #2, KALISPELL, MT 59901
(406) 756-1647
(406) 756-1657
Mailing address
PO BOX 5028, KALISPELL, MT 59903-5028
(406) 756-1647
(406) 756-1657
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
552
MT
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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