Individual
GREGORY F SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
235 N 1ST ST W STE C, MISSOULA, MT 59802-3661
(406) 214-9697
(406) 728-5178
Mailing address
PO BOX 17213, MISSOULA, MT 59808-7213
(406) 327-3350
(406) 327-3396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1558
MT
Other
Enumeration date
04/27/2011
Last updated
12/22/2023
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