Individual provider · Type 1 NPI
Brad Thomas Boylan, LCPC
Professional Counselor · Missoula, MT
NPI number
1508976028
Active
Practice location
520 N Pattee Street
Missoula, MT 59802
Fax (406) 549-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1120 (MT) |
Professional Counselor: Definition to come...
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About NPI 1508976028
Brad Thomas Boylan, LCPC's National Provider Identifier is 1508976028, issued on Aug 30, 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 8, 2007.