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Individual

MARION GRUMMETT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
410 EAST PIKE AVE, COLUMBUS, MT 59019
(406) 322-4514
(406) 322-4515
Mailing address
PO BOX 238, COLUMBUS, MT 59019-0238
(406) 322-4514
(406) 322-4515

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
739LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75198
BLUE CROSS BLUE SHIELD
MT
01
75208
BLUE CROSS BLUE SHIELD
MT
Enumeration date
09/26/2005
Last updated
07/08/2007
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