NPI | 1982131520 |
---|---|
Former Legal Business Name | STAMM PSYCHOTHERAPY, LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL ALAN STAMM Member 406-579-7718 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 4425) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1570) |
Enumeration Date | 2017-05-14 |
Last Update Date | 2022-07-21 |