Anita J Hershman, LCPC

Individual provider Active NPI Mental Health Counselor · Missoula, MT

NPI 1508530270 · NPPES record last updated Aug 5, 2021

Key facts

NPI
1508530270
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
38810 (MT)
Practice address
2235 Burlington Ave
Missoula, MT 59801-5252
Phone
(406) 531-4186
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
38810MTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 38810 MT Yes

Addresses

Primary practice location

2235 Burlington Ave
Missoula, MT 59801-5252

Mailing address

1100 W Kent Ave Unit 2584
Missoula, MT 59806-7103
Phone (406) 531-4186

Other providers in Missoula, MT

All providers in Missoula, MT · Mental Health Counselor in Montana

Sources for this page

Verify at the official NPI Registry.