Mica Freeland Wolcott, LCPC
Counselor, Mental Health in Clinton, MT. Individual provider (NPI-1).
NPI number1336740679
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1336740679
- Entity type
- Individual (NPI-1)
- Name
- Mica Freeland Wolcott
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 44386 | MT | Yes |
| 101YM0800X | Counselor, Mental Health | BBH-LCPC-LIC-44386 | MT | |
| 101YM0800X | Counselor, Mental Health | 9074 | ID |
Practice location
19770 Swartz Creek RdClinton, MT 59825
Phone 406-540-4120
Mailing address
Po Box 306Clinton, MT 59825-0306
Other practice locations
19770 Swartz Creek Rd
Clinton, MT 59825-9036
Clinton, MT 59825-9036
Phone 208-290-4079
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