Individual
KRISTIN HENRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W MAIN ST STE 308, LEWISTOWN, MT 59457-5703
(406) 535-2779
Mailing address
PO BOX 935, LEWISTOWN, MT 59457-0935
(406) 535-2779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 1268
MT
Other
Enumeration date
02/24/2017
Last updated
05/01/2023
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