Provider Demographics
NPI:1851301121
Name:RILEY-FINNEGAN, RENEE S (MSC, LCPC)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:S
Last Name:RILEY-FINNEGAN
Suffix:
Gender:F
Credentials:MSC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E. PARK GLACIER BANK BLDG.,
Mailing Address - Street 2:STE. 310A
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711
Mailing Address - Country:US
Mailing Address - Phone:406-563-7924
Mailing Address - Fax:
Practice Address - Street 1:307 E. PARK GLACIER BANK BLDG.,
Practice Address - Street 2:STE. 310A
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711
Practice Address - Country:US
Practice Address - Phone:406-563-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional