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Individual

LAURA BETH BLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LCPC

Contact information

Practice address
531 W BROADWAY ST, BUTTE, MT 59701-9104
(406) 580-4685
Mailing address
531 W BROADWAY ST, BUTTE, MT 59701-9104
(406) 580-4685

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1129
MT
101Y00000X
Counselor
BBH-LCPC-LIC-1129
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256360
MT
Enumeration date
06/29/2006
Last updated
03/22/2024
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