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Organization

MONTANA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAUREL A ANDRECHAK PMHNP-BC (OWNER)
(406) 622-3406
Entity
Organization

Contact information

Practice address
1601 2ND AVE N, GREAT FALLS, MT 59401-3259
(406) 622-3406
Mailing address
PO BOX 806, FORT BENTON, MT 59442-0806
(406) 622-3406

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20513 RN
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992907372
MT
Enumeration date
01/21/2010
Last updated
01/21/2010
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