Anisa N Goforth PHD, NCSP

NPI # 

Practice Address:

1444 Mansfield Ave

Missoula, MT, 59812-0001

Practice Phone:

406-493-6471

License Number:

1482

License State:

MT

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Psychologist

Taxonomy Code:

103T00000X