Individual
MS. LEANNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
229 KEITH AVE, MISSOULA, MT 59801-4307
(406) 360-3262
Mailing address
229 KEITH AVE, MISSOULA, MT 59801-4307
(406) 360-3262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
299
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256282
—
MT
01
—
07445-3
BLUE CROSSBLUE SHIELD MT
MT
Enumeration date
02/04/2007
Last updated
04/19/2024
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