NPI 1003821976 · live from the CMS NPI Registry
Brooks William Baer, LCPC
Counselor, Professional in Missoula, MT. National Provider Identifier 1003821976, active.
NPI record
| NPI | 1003821976 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 902 N Orange St, Suite 102, Missoula, MT 59802 |
| Practice phone | 406-327-3034 |
| Mailing address | Po Box 12, Liberty Lake, WA 99019 |
| Enumerated | July 29, 2006 |
| Last updated | February 5, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 776 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.