SHANE DAKOTA BEAUMONT HOERBER

MISSOULA, MT
NPI1700626470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MT  BBH-PCLC-LIC-71138)
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
SHANE DAKOTA BEAUMONT HOERBER
2829 GREAT NORTHERN LOOP STE B102
MISSOULA, MT 59808-1752
Phone number: 406-579-4984
Mailing Address
SHANE DAKOTA BEAUMONT HOERBER
2829 GREAT NORTHERN LOOP STE B102
MISSOULA, MT 59808-1752
Phone number: