MR. LPCC, LCPC Brenden Eugene Green, NPI 1780008342
Professional Counselor in Missoula, MT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1780008342
NPI Entity Type Individual
Provider Name MR. LPCC, LCPC Brenden Eugene Green
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2875 Tina Ave Ste 106, Missoula, MT, US
Provider Mailing Address 6315 Lone Moose Ct, Florence, MT, US, 598336005
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

101YP2500X

Taxonomy Name Professional Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

License No. 0181451
License State NM
Description Definition to come...

Other Name

MR. LPCC, LCPC Brenden Eugene Dix
Former Name

Business Address

MR. LPCC, LCPC Brenden Eugene Green
2875 Tina Ave Ste 106

Missoula, MT, US

Phone: 406-552-3587

Mailing Address

MR. LPCC, LCPC Brenden Eugene Green
6315 Lone Moose Ct
Florence, MT, US
ZIP 598336005
Phone: 505-977-5376

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

101YP2500X

Behavioral Health & Social Service Providers

Counselor

T-0164301 NM No

101YP2500X

Behavioral Health & Social Service Providers

Counselor

0013284 CO No

101YP2500X

Behavioral Health & Social Service Providers

Counselor

BBH-LCPC-LIC-43089 MT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1780008342 NM MEDICAID 05
0686766 MT MEDICAID 05

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Organization

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LCPC Karelia Mowbray

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Individual

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Organization

Clinic/Center

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1235854936

Quinn L Mawhinney

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Organization

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PMHNP Brian Ipock

Individual

Psychiatric/Mental Health Nurse Practitioner

500 15th Ave S

Great Falls, MT

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