Individual
EDNA STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACE
Contact information
Practice address
2798 MERIWETHER ST, MISSOULA, MT 59803-2934
(406) 544-0432
Mailing address
2798 MERIWETHER ST, MISSOULA, MT 59803-2934
(406) 544-0432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-TMP-4114
MT
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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