Individual
MR. LARRY D POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
116 S MAIN ST, CONRAD, MT 59425-2031
(406) 231-2102
Mailing address
132 14TH AVE S, GREAT FALLS, MT 59405-4214
(406) 231-2102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
982
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254048
—
MT
01
—
745183
BLUE CROSS BLUE SHIELD
MT
Enumeration date
02/15/2007
Last updated
04/10/2023
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