Individual
DIANE I. BANKS-MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
84 OHIO ST, STE 3, BUTTE, MT 59701-1806
(406) 291-5805
Mailing address
84 OHIO ST, STE 3, BUTTE, MT 59701-1806
(406) 646-2470
(406) 299-3911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
711LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28236
—
MT
01
—
70226
BCBSMT
MT
Enumeration date
01/17/2007
Last updated
08/14/2023
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