Most Relevant Information
Provider Data
| NPI Number: | 1003679192 |
| Provider Name: | JAMES WALTER THOMPSON PCLC, LSC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | BBH-PCLC-LIC-57573 |
Most Important Dates
| Enumeration Date: | 02/01/2024 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
1724 FAIRVIEW AVE STE A
MISSOULA
MT
598017873
Practice Location Phone/Fax
| Phone: | 4062143810 |
| Fax: |
Provider Mailing Location
1724 FAIRVIEW AVE STE A
MISSOULA
MT
598017873
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |