Individual
MICOLE FOUST LACOUNTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACLC
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 203-9948
(406) 203-9949
Mailing address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 203-9948
(406) 203-9949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-63769
MT
Other
Enumeration date
11/13/2018
Last updated
05/27/2025
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