person
Marilyn Fenton Montville
Mental Health Counselor in Cody, Wyoming
NPI 1376695023

Marilyn Fenton Montville is a Mental Health Counselor based in Cody, WY and is specialized in Mental Health. Marilyn Fenton Montville practices in Cody, WY. The NPI Number for Marilyn Fenton Montville is 1376695023 and holds a License No. 237 (Wyoming).

The current practice location address for Marilyn Fenton Montville is 721 Sheridan Ave, Cody, WY and can be reached out via phone at 307-527-5312 and via fax at 307-578-2212. You can also correspond with Marilyn Fenton Montville through the mailing address at 1514 SHEPARD PL, CODY, WY - 82414-4220 (mailing address contact number: 307-587-9596).

Location: 721 Sheridan Ave, Cody, WY, 82414-4220
person
Provider Profile Details
NPI Number
1376695023
Provider Name
Marilyn Fenton Montville
Credential
Provider Entity Type
Individual
Gender
Female
Address
721 Sheridan Ave, Cody, WY, 82414-4220
Phone Number
307-527-5312
Fax Number
307-578-2212
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11661674 01 WY CAQH UNIVERSAL CREDENTIAL
institution
Provider Business Practice Location Address Details
Address
721 Sheridan Ave
City
State
Zip
82414-3423
Phone Number
307-527-5312
Fax Number
307-578-2212
person
Provider Business Mailing Address Details
Address
721 Sheridan Ave
City
State
Zip
82414-3423
Phone Number
307-527-5312
Fax Number
307-578-2212
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
237 (Wyoming)
Definition
Definition to come...
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