Individual
TODD HAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
2419 MULLAN RD, STE F, MISSOULA, MT 59808-1856
(406) 880-4455
(406) 926-3808
Mailing address
2927 PRADA DR, MISSOULA, MT 59808-9612
(406) 880-4455
(406) 926-3808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4172
MT
1041C0700X
Clinical Social Worker
Primary
16657
MT
Other
Enumeration date
10/02/2014
Last updated
10/14/2016
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