Organization
MITCH GUERETTE LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH GUERETTE (PSYCHOTHERAPIST)
(406) 381-3473
Entity
Organization
Contact information
Practice address
1001 SW HIGGINS AVE STE 206, MISSOULA, MT 59803-1340
(406) 381-3473
Mailing address
1001 SW HIGGINS AVE STE 206, MISSOULA, MT 59803-1340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1059
MT
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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