Vaillancourt, Mavis H.

Vaillancourt, Mavis H. is an individual health care provider with primary practice located at 415 Louisiana Ave , Libby MT 59923-2131. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vaillancourt, Mavis H. can be contacted via phone (406) 546-8507.

Contact Information

Primary practice address
415 Louisiana Ave Libby MT 59923-2131
Phone: (406) 546-8507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 912 Montana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1140 Montana

Profile Details

NPI number 1134139058
LBN Legal business name Vaillancourt, Mavis H.
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 12th, 2016 - about 10 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.

Request for update

Popular Providers