Alembic Psychotherapy Incorporated

NPI 1114293354 - Social Worker - 1041C0700X

NPI Details
NPI 1114293354
Enumeration Date 03/30/2012
Last Updated 06/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name VICTOR VICTOR
Position PRESIDENT
Phone (406) 728-4791
Fax (406) 728-4791
Practice Location
725 W ALDER ST
STE. 28
MISSOULA MT, 59802-4026, US
Phone (406) 728-4791
Fax (406) 728-4791
Business Location
3505 W FORK PETTY CREEK RD
ALBERTON MT, 59820-9313, US
Phone (406) 728-4791
Fax (406) 728-4791
Toxanomy
Taxonomy Code 1041C0700X
License State Montana
License Number 162LCSW
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According to our database, Alembic Psychotherapy Incorporated NPI is 1114293354, taxonomy code is 1041C0700X and license number is 162LCSW, license state is located at Montana. Alembic Psychotherapy Incorporated physically located at 725 W Alder St, Missoula MT, 59802-4026. NPI Number 1033115704 has the healthcare provider type.

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1114293354 NPI number is provided on an as is basis without warranty of any kind. 1114293354 is maintained by the National Plan & Provider Enumeration System. The contents of Alembic Psychotherapy Incorporated are for informational purposes only.