MS. Mavis H. Vaillancourt, LCSW, LAC

NPI #1134139058 in Libby, Montana

Provider Information

NPI Number: 1134139058
Entity Type: Individual
Name: MS. Mavis H. Vaillancourt, LCSW, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LAC
Enumeration Date: Aug 9, 2006
Last Updated: Mar 11, 2025

Practice Location

Address: 415 LOUISIANA AVE
City: Libby
State: Montana
ZIP Code: 59923-2131
Phone: (406) 546-8507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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