Organization
MARK FERRITER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FERRITER LCSW (MEMBER/PROVIDER)
(406) 461-6784
Entity
Organization
Contact information
Practice address
800 KENSINGTON AVE, STE. # 208, MISSOULA, MT 59801-5674
(406) 461-6784
Mailing address
800 KENSINGTON AVE, STE. # 208, MISSOULA, MT 59801-5674
(406) 461-6784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SWP-LCSW-LIC-8872
MT
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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