Individual
THERESA A CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MSW
Contact information
Practice address
1325 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9800
(406) 541-3032
Mailing address
3255 LT MOSS RD, MISSOULA, MT 59804-7220
(406) 532-8409
(406) 543-9316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1405
MT
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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