Individual
MARY MORGAN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
422 W SPRUCE ST, MISSOULA, MT 59802-4127
(406) 550-0638
Mailing address
422 W SPRUCE ST, MISSOULA, MT 59802-4127
(406) 550-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79990
MT
Other
Enumeration date
06/10/2024
Last updated
06/12/2025
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