PETRA GERARDA DE GROOT

MISSOULA, MT
NPI1871706408
Other NamePETRONELLA G DEGROOT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  MT 441)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Ms. PETRA GERARDA DE GROOT LCPC
210 N HIGGINS AVE SUITE 327
MISSOULA, MT 59802-4462
Phone number: 406-728-7584
Mailing Address
Ms. PETRA GERARDA DE GROOT LCPC
PO BOX 8388
MISSOULA, MT 59807-8388
Phone number: 406-728-7584