Individual
MOLLY BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
337 1ST AVE E, KALISPELL, MT 59901-4935
(406) 813-1621
Mailing address
PO BOX 69, BINGEN, WA 98605-0069
(406) 813-1621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
03/22/2025
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