Individual
MRS. KELLY RAE KUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
15 1/2 COLORADO AVE, LAUREL, MT 59044-3112
(406) 628-7717
Mailing address
2900 CLAPPER FLAT RD, LAUREL, MT 59044-9417
(406) 628-7834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1240
MT
101YP2500X
Professional Counselor
1240
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743350
BCBS-LEGACY
MT
Enumeration date
04/13/2007
Last updated
07/21/2022
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