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Ms. Petra Gerarda De Groot, LCPC
Mental Health Counselor in Missoula, Montana
NPI 1871706408

Petra Gerarda De Groot is a Mental Health Counselor based in Missoula, MT and is specialized in Mental Health. Petra Gerarda De Groot practices in Missoula, MT and has the professional credentials of LCPC. The NPI Number for Petra Gerarda De Groot is 1871706408 and holds a License No. MT 441 (Montana).

The current practice location address for Petra Gerarda De Groot is 210 N Higgins Ave, Missoula, MT and can be reached out via phone at 406-728-7584.

Location: 210 N Higgins Ave, Missoula, MT, 59807-8388
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Provider Profile Details
NPI Number
1871706408
Provider Name
Petra Gerarda De Groot
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
210 N Higgins Ave, Missoula, MT, 59807-8388
Phone Number
406-728-7584
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74933 01 MT BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
210 N Higgins Ave
City
State
Zip
59802-4462
Phone Number
406-728-7584
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Higgins Ave
City
State
Zip
59802-4462
Phone Number
406-728-7584
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MT 441 (Montana)
Definition
Definition to come...
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