Individual provider · Type 1 NPI

Lara Mattson Radle, L.C.P.C.

Professional Counselor · Missoula, MT

NPI number 1629306287 Active

Practice location

1515 E Broadway St
Missoula, MT 59802-4929

Call (406) 728-2662 Map

Fax (406) 728-2879

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1462-LCPC (MT)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1629306287

Lara Mattson Radle, L.C.P.C.'s National Provider Identifier is 1629306287, issued on Nov 19, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Nov 19, 2009.