NPI 1003657131
Stacey de Witt Lcpc LLC (stacey M de Witt Sole Mbr)
Practice location
- Address
- 725 W Alder St STE 10, Missoula, MT 59802-4099
- Phone
- (406) 529-5121
- Mailing address
- PO Box 134, Lolo, MT 59847-0134
Authorised official
- Name
- Stacey M de Witt
- Title
- Owner/Therapist
- Phone
- (406) 529-5121
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003657131
- Entity type
- Organization
- NPI issued
- 3 Jun 2024
- Record last updated
- 3 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.