MS. MAVIS VAILLANCOURT, LCSW, LAC
Social Worker - Clinical
Active
Individual
NPI: 1134139058
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 912 (MT) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 1140 (MT) |
Frequently Asked Questions
NPI 1134139058 is the National Provider Identifier for MS. MAVIS VAILLANCOURT, LCSW, LAC, a Social Worker - Clinical provider located in Libby, MT. This NPI was enumerated on August 9, 2006.
MS. MAVIS VAILLANCOURT, LCSW, LAC practices at 415 LOUISIANA AVE, Libby, MT 59923.
Quick Facts
- NPI
- 1134139058
- Type
- Individual
- Enumerated
- Aug 9, 2006
- Last Updated
- Mar 11, 2025
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