Doctor Name: | DR. MARIE MAY |
NPI Number: | 1093054488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LCPC, NCC |
License Number: | NCC 315638 |
Business Practice Address: | 711 4th Ave Se Ronan, MT - 598643101 |
Business Phone Number: | 4066760055 |
Business Fax Number: | 4066760055 |
Mailing Address: | 711 4th Ave Se, RONAN |
State: | MT |
Postal Code: | 598643101 |
Phone Number: | 4066760055 |
Fax Number: | 4066760055 |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | NCC 315638 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |