Individual
HEIDI MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
210 N HIGGINS AVE STE 207, MISSOULA, MT 59802-4443
(406) 493-1594
Mailing address
530 SPEEDWAY AVE, MISSOULA, MT 59802-5552
(406) 493-2898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1287
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1287
STATE OF MONTANA LICENSE
MT
Enumeration date
08/20/2007
Last updated
03/09/2016
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