Individual provider · Type 1 NPI

Nathan Dale Blumenbach

Professional Counselor · Missoula, MT

NPI number 1104536416 Active

Practice location

3885 W Broadway St
Missoula, MT 59808-5796

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XBBH-PCLC-LIC-58852 (MT)

Professional Counselor: Definition to come...

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About NPI 1104536416

Nathan Dale Blumenbach's National Provider Identifier is 1104536416, issued on Nov 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Nov 28, 2022.