Individual
MS. MARY D ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LCPC
Contact information
Practice address
725 W CENTRAL AVE STE 210, MISSOULA, MT 59801-6800
(406) 544-8966
Mailing address
725 W CENTRAL AVE STE 210, MISSOULA, MT 59801-6800
(406) 544-8966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1090
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256088
—
MT
Enumeration date
12/26/2006
Last updated
07/09/2007
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