Organization
MAUREEN CORDIAL, LMFT, LCPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN ELOISE CORDIAL LMFT, LCPC (MARRIAGE AND FAMILY THERAPIST)
(406) 721-8858
Entity
Organization
Contact information
Practice address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
Mailing address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LMFT-4491
MT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCPC-4492
MT
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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