Mavis Vaillancourt Lcsw Lac LLC

NPI #1699229682 in Libby, Montana

Provider Information

NPI Number: 1699229682
Entity Type: Organization
Organization Name: Mavis Vaillancourt Lcsw Lac LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 8, 2016
Last Updated: Mar 12, 2025

Practice Location

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

Authorized Official

Name: MAVIS VAILLANCOURT, LCSW LAC
Title: OWNER
Phone: (406) 546-8507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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