Healthcare Provider Details

I. General information

NPI: 1609694769
Provider Name (Legal Business Name): KRISTEN DABBS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S 3RD ST W # A
MISSOULA MT
59801-2391
US

IV. Provider business mailing address

1280 S 3RD ST W # A
MISSOULA MT
59801-2391
US

V. Phone/Fax

Practice location:
  • Phone: 425-213-3771
  • Fax:
Mailing address:
  • Phone: 406-214-7555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-PCLC-LIC-72608
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: