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NPI Code Detail

MEDICARE: MISS DONNA C. GETTLE -BRIGGS LCPC

MEDICARE: MISS DONNA C. GETTLE -BRIGGS LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1373MT

General Provider Information

NPI Number : 1437487683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DONNA C. GETTLE -BRIGGS LCPC
Provider Business Mailing Address
First Line : T-9 FORT MISSOULA
Second Line :
City : MISSOULA
State : MT
Zip : 59804-7202
Country : US
Telephone Number : 406-532-8400
Fax Number :
Provider Business Practice Location Address
First Line : 81 W PARK ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1713
Country : US
Telephone Number : 406-723-2399
Fax Number : 406-723-2349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2009
Last Update Date : 04/05/2017

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