Individual
LAURIE SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
202 BROOKS ST STE 300, MISSOULA, MT 59801-4019
(406) 926-1453
(406) 396-1454
Mailing address
4640 MONTICELLO PL, MISSOULA, MT 59808-8685
(406) 396-1592
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-57673
MT
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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