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NPI Code Detail

MEDICARE: D'ANN GRACE GAREIS LCPC

MEDICARE:   D'ANN GRACE GAREIS  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 Counselor
2101YM0800XMental Health Counselor46837MT

General Provider Information

NPI Number : 1881354744
Entity Type Code : Individual
Provider Name (Legal Business Name) : D'ANN GRACE GAREIS LCPC
Provider Business Mailing Address
First Line : 390 HODGSON RD
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-9063
Country : US
Telephone Number : 406-897-2788
Fax Number :
Provider Business Practice Location Address
First Line : 390 HODGSON RD
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-9063
Country : US
Telephone Number : 406-897-2788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2021
Last Update Date : 09/22/2022

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Directions to “ D'ANN GRACE GAREIS LCPC” Practice Location

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