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Individual

SHANE DAKOTA BEAUMONT HOERBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
210 N HIGGINS AVE STE 306, MISSOULA, MT 59802-4443
(406) 209-8713
Mailing address
210 N HIGGINS AVE STE 306, MISSOULA, MT 59802-4443
(406) 209-8713

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-81247
MT

Other

Enumeration date
05/29/2024
Last updated
11/05/2025
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