Individual
RENEE RATLIFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED, LCPC
Contact information
Practice address
2229 5TH AVE, SUITE 108, HAVRE, MT 59501-5217
(406) 265-6743
(406) 265-1313
Mailing address
202 CONWAY DR, SUITE 100, KALISPELL, MT 59901-3112
(800) 300-3108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1032
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256394
—
MT
01
—
740750
BC/BS PROVIDER #
MT
Enumeration date
05/26/2006
Last updated
07/09/2007
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