Individual
CHETTHA PAUL TECHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521
(406) 945-0393
Mailing address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
38614
MT
Other
Enumeration date
07/10/2019
Last updated
08/03/2020
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