Individual
MS. MARIE CHRISTINE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
700 SW HIGGINS AVE STE 107, MISSOULA, MT 59803-1489
(406) 531-3948
Mailing address
2120 S RESERVE ST # 1020, MISSOULA, MT 59801-6451
(406) 531-3948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BBH-LCPC-LIC-42893
MT
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-42893
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-42893
MT
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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