Individual
LACEY KNOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 DREDGE DR, HELENA, MT 59602-0548
(406) 442-7920
(406) 442-7049
Mailing address
3240 DREDGE DR, HELENA, MT 59602-0548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWP-LCPC-LIC-4926
MT
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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