Whalio Doctors

NPI 1124308846

Evolution Services, INC.

Organisation Professional Counselor Missoula, MT

Practice location

Address
520 S 3rd St W, Missoula, MT 59801-2518
Phone
(406) 240-3732
Fax
(406) 728-4009

Authorised official

Name
Jocelyn M Nelson
Title
Director
Phone
(406) 240-3732

Registered specialties (4)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence SWP LCPC LIC 1393 (MT)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SWP-LCSW-LIC-859 (MT)
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1124308846
Entity type
Organization
NPI issued
25 Aug 2011
Record last updated
17 Dec 2013

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.