| Courtney Richards, Lcpc, Pllc | |
|
1048 Burlington Ave Ste 108 Missoula MT 59801-5684 | |
| (406) 830-1122 | |
| Not Available |
| Full Name | Courtney Richards, Lcpc, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1048 Burlington Ave Ste 108, Missoula, Montana |
| Authorized Official Name and Position | Courtney A Richards (COUNSELOR) |
| Authorized Official Contact | 4068301122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Richards, Lcpc, Pllc 350 Strand Ave Missoula MT 59801-5715 Ph: (517) 648-2825 | Courtney Richards, Lcpc, Pllc 1048 Burlington Ave Ste 108 Missoula MT 59801-5684 Ph: (406) 830-1122 |
| NPI Number | 1609485747 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609485747 | NPI | - | NPPES |
| 1528506136 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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