Individual
CHELCI MARIE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 360-1047
(406) 830-3156
Mailing address
1234 1/2 PHILLIPS ST, MISSOULA, MT 59802-2325
(406) 360-1047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-42582
MT
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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