Organization
GLENN BLUMENSON LCSW PLLC
Active
Other names
Five Valleys Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BLUMENSON LCSW (CEO)
(406) 823-0108
Entity
Organization
Contact information
Practice address
111 N HIGGINS AVE STE 409, MISSOULA, MT 59802-4433
(406) 823-0108
Mailing address
603 S 3RD ST W APT 2, MISSOULA, MT 59801-2538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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