person
Marissa Mae Ilac, LCPC
Mental Health Counselor in Polson, Montana
NPI 1497339493

Marissa Mae Ilac is a Mental Health Counselor based in Hot Springs, MT and is specialized in Mental Health. Marissa Mae Ilac practices in Polson, MT and has the professional credentials of LCPC. The NPI Number for Marissa Mae Ilac is 1497339493 and holds a License No. BBH-LCPC-LIC-48659 (Montana).

The current practice location address for Marissa Mae Ilac is 402 1St St. E. #205, Polson, MT and can be reached out via phone at 406-260-1716. You can also correspond with Marissa Mae Ilac through the mailing address at PO BOX 731, HOT SPRINGS, MT - 59845-0731 (mailing address contact number: 406-260-1716).

Location: 402 1St St. E. #205, Polson, MT, 59845-0731
person
Provider Profile Details
NPI Number
1497339493
Provider Name
Marissa Mae Ilac
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
402 1St St. E. #205, Polson, MT, 59845-0731
Phone Number
406-260-1716
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 1St St. E. #205
City
State
Zip
59860
Phone Number
406-260-1716
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 731
City
State
Zip
59845-0731
Phone Number
406-260-1716
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
BBH-LCPC-LIC-48659 (Montana)
Definition
Definition to come...
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