Individual
RICHARD ALLEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1467 HAYES DR, MISSOULA, MT 59808-1231
(406) 532-8952
(406) 543-6751
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
(406) 543-9316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2609
MT
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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