RICHARD ALLEN EDWARDS

MISSOULA, MT
NPI1912245812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  2609)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
-- RICHARD ALLEN EDWARDS LAC
1467 HAYES DR
MISSOULA, MT 59808-1231
Phone number: 406-532-8952
Mailing Address
-- RICHARD ALLEN EDWARDS LAC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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