Organization
LINDA YEAROUS PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA AJ SLITER YEAROUS LCSW (OWNER AND CLINICIAN)
(701) 203-3442
Entity
Organization
Contact information
Practice address
101 E BROADWAY ST STE 312, MISSOULA, MT 59802-4589
(406) 471-0282
Mailing address
PO BOX 7236, MISSOULA, MT 59807-7236
(406) 471-0282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017352
—
MT
Enumeration date
02/04/2025
Last updated
02/05/2025
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