| NPI | 1093833972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. LANGE Licensed Professional Counselor 406-212-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1294-LCPC) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |