Individual
RODNEY A. MINCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
216 E 4TH ST, ANACONDA, MT 59711-3002
(406) 560-6167
Mailing address
216 E 4TH ST, ANACONDA, MT 59711-3002
(406) 560-6167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1602-LCPC
MT
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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