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Individual

PHILLIP MONTGOMERY QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
515 N EWING ST STE 107, HELENA, MT 59601-4002
(406) 442-4130
Mailing address
PO BOX 907, HELENA, MT 59624-0907
(406) 461-5227

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-35321
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BBH-LCPC-LIC-35321
BUSINESS STANDARDS DIVISION, BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
12/27/2018
Last updated
11/08/2023
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