Individual
TIMOTHY MARK RADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
1515 E. BROADWAY, MISSOULA, MT 59802-4929
(406) 728-5353
(406) 728-9628
Mailing address
1515 E. BROADWAY, MISSOULA, MT 59802-4929
(406) 728-5353
(406) 728-9628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1347
MT
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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