Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN JACOB FAIRHURST
ActiveMental Health Counselor · GREAT FALLS, MT
Registration Details
- NPI Number
- 1982467361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2024 (2.2499254715977 yrs)
- Last Updated
- Jan 30, 2024
- License
-
BBHPCLCLIC70082 (MT)
Practice Information
- Address
-
33 DIVISION RD UNIT 1GREAT FALLS, MT, 594041410Browse MT providers · Browse ZIP 59404
- Phone
- 4067812074
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GREAT FALLS, MT
| Name | Credential | NPI |
|---|---|---|
| RICH KUKA | L.C.P.C. | 1346281474 |
| JEANNE DUSSAULT | LCPC | 1205857414 |
| MRS. BOBBIN KAY MAKI | LCPC | 1184716680 |
| MRS. CRYSTAL MONIQUE KIRSCHMAN | MA, LCPC, NCC | 1932283835 |
| WAVA E GOETZ | M.S. | 1043369978 |
| MS. PATRICIA ANN MCCOY | ME.D, LCPC, CHT, NCC | 1891848040 |
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.