Individual
LEIGH FAHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 MISSOULA AVE STE C, HELENA, MT 59601-3830
(406) 465-1276
Mailing address
PO BOX 9717, HELENA, MT 59604-9717
(406) 465-1276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1005
MT
Other
Enumeration date
01/05/2016
Last updated
01/15/2016
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