Individual
KARLIE MICHELE SOUTHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
313 SW HIGGINS AVE, MISSOULA, MT 59803-1405
(406) 366-6594
Mailing address
336 S 6TH ST W APT 21, MISSOULA, MT 59801-3955
(406) 366-6594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-81008
MT
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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