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Individual

RUTH STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9704
(406) 496-6314
Mailing address
613 1ST AVE E, THREE FORKS, MT 59752-8944
(406) 579-7649

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1534
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477745370
MT
Enumeration date
07/01/2011
Last updated
01/10/2024
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