Mclaverty, Diane Marie

Mclaverty, Diane Marie is an sole proprietor health care provider with primary practice located at 1119 W Kent Ave Ste D , Missoula MT 59801-6633. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mclaverty, Diane Marie can be contacted via phone (406) 728-5224.

Contact Information

Primary practice address
1119 W Kent Ave Ste D Missoula MT 59801-6633
Phone: (406) 728-5224
Fax: (406) 728-5224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 415 Montana
Behavioral Health & Social Service Providers / Professional 101YP2500X 187 Montana

Profile Details

NPI number 1598970568
LBN Legal business name Mclaverty, Diane Marie
Credentials LCPC, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598970568 NPPES
Montana MEDICAID 0257312

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