Individual
PENNY M GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
336 W. SPRUCE, MISSOULA, MT 59802
(970) 217-8686
(844) 587-9638
Mailing address
PO BOX 1371, MISSOULA, MT 59806
(970) 217-8686
(844) 587-9638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4727
MT
101YP2500X
Professional Counselor
5992
CO
101YP2500X
Professional Counselor
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7168109
—
MT
Enumeration date
06/25/2007
Last updated
02/08/2016
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