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Individual

FANCI RAE PULLIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1800 19TH AVE S, CENTER FOR MENTAL HEALTH/SUNNYSIDE, GREAT FALLS, MT 59405-6130
(406) 761-2100
(406) 791-9629
Mailing address
PO BOX 3089, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59403-3089
(406) 761-2100
(406) 791-9629

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17543
MT

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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