Individual
BLAKE M. PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, M.ED
Contact information
Practice address
410 WINDWARD WAY, KALISPELL, MT 59901-2680
(406) 257-1336
(406) 257-1353
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
409
MT
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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