Individual
MR. THOMAS PETER COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
619 SW HIGGINS AVE STE E, MISSOULA, MT 59803-1430
(781) 771-8940
Mailing address
619 SW HIGGINS AVE STE E, MISSOULA, MT 59803-1430
(781) 771-8940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-64440
MT
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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