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Individual

MS. DEBRA LYNN HALLOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
11 BITTERROOT MOUNTAIN RD, CLANCY, MT 59634-9631
(406) 390-6488
Mailing address
11 BITTERROOT MOUNTAIN RD, CLANCY, MT 59634-9631
(406) 390-6488

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#847
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256464
MT
01
75438
BLUE CROSS/ BLUE SHIELD
MT
Enumeration date
07/08/2006
Last updated
08/09/2023
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