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Life Source Llc
Professional Counselor in Hamilton, Montana
NPI 1922510890

Life Source Llc is a Professional Counselor based in Hamilton, MT and is specialized in Professional. Life Source Llc practices in Hamilton, MT. The NPI Number for Life Source Llc is 1922510890 and holds a License No. 387-LCPC (Montana).

The current practice location address for Life Source Llc is 127 W Main St Ste B-2, Hamilton, MT and can be reached out via phone at 770-354-9621.

Location: 127 W Main St Ste B-2, Hamilton, MT, 59840-0127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922510890
Provider Name
Life Source Llc
Credential
Provider Entity Type
Organization
Address
127 W Main St Ste B-2, Hamilton, MT, 59840-0127
Phone Number
770-354-9621
Fax Number
Provider Enumeration Date
10/31/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
127 W Main St Ste B-2
City
Hamilton
State
Montana
Zip
59840-2581
Phone Number
770-354-9621
Fax Number
person
Provider Business Mailing Address Details
Address
127 W Main St Ste B-2
City
Hamilton
State
Montana
Zip
59840-2581
Phone Number
770-354-9621
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
387-LCPC (Montana)
Definition
Definition to come...
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