Individual
NATHAN DALE BLUMENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3885 W BROADWAY ST, MISSOULA, MT 59808-5796
(406) 493-3700
Mailing address
3885 W BROADWAY ST, MISSOULA, MT 59808-5796
(406) 493-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-58852
MT
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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