Individual
AMANDA MICHELE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9770
(406) 206-7112
Mailing address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9770
(406) 206-7112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCSW-LIC-42768
MT
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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