Individual
KATHERINE KELLY GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHPSS
Contact information
Practice address
202 BROOKS ST STE 300, MISSOULA, MT 59801-4019
(406) 926-1453
(406) 926-1454
Mailing address
PO BOX 3976, MISSOULA, MT 59806-3976
(406) 926-1453
(406) 926-1454
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
BBH-BHPS-CRT-55462
MT
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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