Marissa Mae Ilac, LCPC
NPI #1497339493 in Polson, Montana
Provider Information
- NPI Number
- 1497339493
- Entity Type
- Individual
- Name
- Marissa Mae Ilac, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- May 6, 2021
- Last Updated
- May 6, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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