Individual
KRYSTLE GAWEL-KULESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2755 COLONIAL DR, HELENA, MT 59601-4926
(406) 444-7500
Mailing address
PO BOX 5539, HELENA, MT 59604-5539
(406) 444-7500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55003
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCW-LIC-55003
MONTANA STATE LICENSE
MT
Enumeration date
02/01/2022
Last updated
02/01/2022
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