Organization
CLARK FORK BEHAVIORAL HEALTH INC.
Active
Other names
Cody Bryant LCPC Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CODY BRYANT LCPC (PRESIDENT)
(406) 431-7764
Entity
Organization
Contact information
Practice address
913 SW HIGGINS AVE STE 102, MISSOULA, MT 59803-1423
(406) 431-7764
(406) 493-1260
Mailing address
913 SW HIGGINS AVE STE 102, MISSOULA, MT 59803-1423
(406) 431-7764
(406) 493-1260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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