Mary D Archer, EdS, LCPC
Counselor, Professional in Missoula, MT. Individual provider (NPI-1).
NPI number1407911985
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1407911985
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary D Archer
- Credential
- EdS, LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1090 | MT | Yes |
Practice location
725 W Central Ave Ste 210Missoula, MT 59801-6800
Phone 406-544-8966
Mailing address
725 W Central Ave Ste 210Missoula, MT 59801-6800
Phone 406-544-8966
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