Individual
RICHARD DALE BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
234 2ND ST W, KALISPELL, MT 59901-4412
(406) 257-5046
(406) 257-5092
Mailing address
PO BOX 547, KALISPELL, MT 59903-0547
(406) 257-5046
(406) 257-5092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1325
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023218039
—
MT
Enumeration date
07/19/2007
Last updated
05/19/2008
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