Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA MAE ILAC, LCPC
ActiveMARISSA MAE ILAC, LCPC is a Mental Health Counselor healthcare provider located in POLSON, Montana. NPI 1497339493 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · POLSON, MT
Registration Details
- NPI Number
- 1497339493
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2021 (5.2340401315551 yrs)
- Last Updated
- May 6, 2021
- License
-
BBH-LCPC-LIC-48659 (MT)
Practice Information
- Address
-
402 1ST ST. E. #205POLSON, MT, 59860Browse MT providers · Browse ZIP 59860
- Phone
- 4062601716
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in POLSON, MT
| Name | Credential | NPI |
|---|---|---|
| SYLVIA F LONGKNIFE | LCPC | 1942490511 |
| MRS. PATRICIA LOUISE FRICKSON | MS | 1891980090 |
| KATIE BATEMAN | LCPC | 1346631355 |
| SHASTA BAUM-STRAIT | LCPC | 1336700814 |
| EMILY MARSHALL MICHALIK | M.ED. | 1730709734 |
| RACHEL EDINGTON | PCLC | 1447034434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.