ELLEN MITTLESTADT

MISSOULA, MT
NPI1700759768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  BBH-ACLC-LIC-81472)
Enumeration Date2025-09-25
Last Update Date2025-09-25
Business Address
ELLEN MITTLESTADT
2001 S RUSSELL ST
MISSOULA, MT 59801-6621
Phone number: 406-493-0143
Mailing Address
ELLEN MITTLESTADT
PO BOX 5102
MISSOULA, MT 59806-5102
Phone number: 406-493-0143
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