Healthcare Provider Details

I. General information

NPI: 1427246131
Provider Name (Legal Business Name): ERINN GUZIK LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 S 3RD ST W STE A
MISSOULA MT
59801-2397
US

IV. Provider business mailing address

1290 S 3RD ST W STE A
MISSOULA MT
59801-2397
US

V. Phone/Fax

Practice location:
  • Phone: 405-501-7218
  • Fax:
Mailing address:
  • Phone: 405-501-7218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: