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NPI Code Detail

MEDICARE: DAWN M MOLES LCPC-C

MEDICARE: DAWN M MOLES LCPC-C
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
1101YM0800XMental Health CounselorBBH-PCLC-LIC-51715MT

General Provider Information

NPI Number : 1407571839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN M MOLES LCPC-C
Provider Business Mailing Address
First Line : PO BOX 1179
Second Line :
City : ST IGNATIUS
State : MT
Zip : 59865-1179
Country : US
Telephone Number : 406-745-3681
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 : 10/07/2022
Last Update Date : 10/07/2022

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Directions to “ DAWN M MOLES LCPC-C” Practice Location

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