Individual
DR. STEPHEN RANDALL PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMFT, LCPC
Contact information
Practice address
1601 2ND AVE N, OLIVE BRANCH PSYCHOTHERAPY, GREAT FALLS, MT 59401-3259
(406) 217-2338
Mailing address
1601 2ND AVE N, OLIVE BRANCH PSYCHOTHERAPY, GREAT FALLS, MT 59401-3259
(406) 217-2338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8804
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0MT0750390
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
11/10/2014
Last updated
02/09/2015
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