Individual
KRISTIN KIMBERLY STRATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1100 W KENT AVE # 2741, MISSOULA, MT 59801-9998
(406) 544-2833
Mailing address
1100 W KENT AVE # 2741, MISSOULA, MT 59801-9998
(406) 544-2833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-36862
MT
101YP2500X
Professional Counselor
BBH-PCLC-LIC-29945
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-PCLC-LIC-29945
NEW STATE LICENSE
MT
Enumeration date
12/17/2018
Last updated
10/23/2024
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