Schall, Gracia L

Schall, Gracia L is an sole proprietor health care provider with primary practice located at 1640 South Avenue West , Missoula MT 59801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schall, Gracia L can be contacted via phone (406) 721-1774.

Contact Information

Primary practice address
1640 South Avenue West Missoula MT 59801
Fax: (406) 721-1774
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 55 LCPC Montana

Profile Details

NPI number 1710950571
LBN Legal business name Schall, Gracia L
Credentials MS LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jul 9th, 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 1710950571 NPPES
Montana MEDICAID 0257074
Montana Other 075310

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