NPI 1407911985 · live from the CMS NPI Registry
Mary D Archer, EdS, LCPC
Counselor, Professional in Missoula, MT. National Provider Identifier 1407911985, active.
NPI record
| NPI | 1407911985 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 725 W Central Ave Ste 210, Missoula, MT 59801 |
| Practice phone | 406-544-8966 |
| Enumerated | December 26, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 1090 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.