Individual
SHANNON REILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
415 N HIGGINS AVE STE 123, MISSOULA, MT 59802-4563
(406) 550-5150
Mailing address
415 N HIGGINS AVE STE 123, MISSOULA, MT 59802-4563
(406) 550-5150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-69917
MT
Other
Enumeration date
11/21/2022
Last updated
01/09/2024
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