Organization
FACILITATING LIFE CHANGES INC
Active
Organization
FACILITATING LIFE CHANGES INC
Active
Other names
Diana L Bjorgen PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA L BJORGEN PHD (PRESIDENT OWNER)
(406) 327-9697
Entity
Organization
Contact information
Practice address
301 W SPRUCE ST, MISSOULA, MT 59802
(406) 327-9697
Mailing address
PO BOX 1328, FLC INC OR CUSTOM MEDICAL BILLING, FLORENCE, MT 59833
(406) 273-7600
(406) 273-7601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
307
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490348
—
MT
01
—
P00099519
PR MED
—
Enumeration date
12/30/2005
Last updated
01/24/2008
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