Individual
VICKI C STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 CENTRAL AVE, SUITE 514, GREAT FALLS, MT 59401-3154
(406) 870-1192
Mailing address
410 CENTRAL AVE, SUITE 514, GREAT FALLS, MT 59401-3154
(406) 870-1192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3613
ID
101YP2500X
Professional Counselor
Primary
910
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254932
—
MT
01
—
744303
MONTANA BLUE CROSS/BLUE S
MT
Enumeration date
06/30/2006
Last updated
07/09/2007
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