Individual
MRS. MICHELLE R FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 366-1604
Mailing address
1720 DINO COURT, MISSOULA, MT 59808-5703
(406) 366-1604
(406) 538-4564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
959
MT
101YP2500X
Professional Counselor
Primary
959-LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253198
—
MT
01
—
744623
BLUECROSS/BLUESHIELD
—
01
—
F1081
APS HEALTHCARE
—
Enumeration date
08/12/2005
Last updated
05/14/2019
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