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1215698907
GRANITE COUNSELING OF MONTANA, LLC
MISSOULA, MT
NPI
1215698907
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Entity Type
Organization
Authorized Contact
SARA ANNE POLANCHEK
Owner/Clinician
406-360-3157
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
GRANITE COUNSELING OF MONTANA, LLC
32 CAMPUS DR
MISSOULA, MT 59812-0003
Phone number: 406-360-3157
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Mailing Address
GRANITE COUNSELING OF MONTANA, LLC
4010 HERITAGE WAY
MISSOULA, MT 59802-3050
Phone number: 406-360-3157
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