Individual
KELLY P. SCARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC, MSW
Contact information
Practice address
1325 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9817
(406) 541-3032
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1276
MT
1041C0700X
Clinical Social Worker
Primary
1039
MT
163W00000X
Registered Nurse
21203
MT
Other
Enumeration date
10/31/2008
Last updated
03/08/2012
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