Individual provider · Type 1 NPI
Mary D. Archer, EDS, LCPC
Professional Counselor · Missoula, MT
NPI number
1407911985
Active
Practice location
725 W Central Ave Ste 210
Missoula, MT 59801-6800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1090 (MT) |
Professional Counselor: Definition to come...
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About NPI 1407911985
Mary D. Archer, EDS, LCPC's National Provider Identifier is 1407911985, issued on Dec 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Jul 9, 2007.