Organization
ADAM BOOMER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BOOMER BBH-LCSW-LIC-81440 (THERAPIST)
(406) 830-5095
Entity
Organization
Contact information
Practice address
800 KENSINGTON AVE STE 201, MISSOULA, MT 59801-5670
(406) 830-5095
Mailing address
800 KENSINGTON AVE STE 201, MISSOULA, MT 59801-5674
(406) 830-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/24/2025
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