Individual
MICHAELA CONWAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 N HIGGINS, SUITE 15, MISSOULA, MT 59802
(406) 721-3000
(406) 721-5912
Mailing address
1008 BURLINGTON AVE, SUITE C, MISSOULA, MT 59801
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
637LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503540
—
MT
Enumeration date
05/13/2006
Last updated
07/08/2007
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