Organization
VALEO BEHAVIORAL HEALTH, LLC
Active
Other names
Kristina M Miner
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA MARIE MINER LCSW, LAC, MSW (SOLE MEMBER)
(406) 544-7678
Entity
Organization
Contact information
Practice address
1600 NORTH AVE W STE 106, MISSOULA, MT 59801-5500
(406) 544-7678
(406) 926-3117
Mailing address
1600 NORTH AVE W STE 106, MISSOULA, MT 59801-5500
(406) 544-7678
(406) 926-3117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BBH-LAC-LIC-1354
MT
251S00000X
Community/Behavioral Health Agency
Primary
BBH-LCSW-LIC-999
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538473004
—
MT
Enumeration date
10/14/2016
Last updated
01/21/2019
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