NPI 1023749496

Illumination Counseling PLLC

Organisation Clinical Social Worker Missoula, MT

Practice location

Address: 2601 S 3rd St W, Missoula, MT 59804-1143
Phone: (406) 207-7467
Mailing address: 321 Speedway Ave, Missoula, MT 59802-5474

Authorised official

Name: Mary Zimmerman
Title: Owner
Phone: (406) 207-7467

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Montana →

Registry record

NPI: 1023749496
Entity type: Organization
NPI issued: 17 Jun 2022
Record last updated: 17 Jun 2022

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.