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Gregory F Shanks, MA, LCPC

Counselor, Professional in Missoula, MT. Individual provider (NPI-1).

NPI number1881985653
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1881985653
Entity type
Individual (NPI-1)
Name
Gregory F Shanks
Credential
MA, LCPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2011
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional1558MTYes

Practice location

235 N 1st St W Ste C
Missoula, MT 59802-3661

Phone 406-214-9697 · Fax 406-728-5178

Mailing address

Po Box 17213
Missoula, MT 59808-7213

Phone 406-327-3350 · Fax 406-327-3396

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