person
Timothy Mark Radle, LCPC
Mental Health Counselor in Missoula, Montana
NPI 1205011020

Timothy Mark Radle is a Mental Health Counselor based in Missoula, MT and is specialized in Mental Health. Timothy Mark Radle practices in Missoula, MT and has the professional credentials of LCPC. The NPI Number for Timothy Mark Radle is 1205011020 and holds a License No. 1347 (Montana).

The current practice location address for Timothy Mark Radle is 1515 E. Broadway, Missoula, MT and can be reached out via phone at 406-728-5353 and via fax at 406-728-9628.

Location: 1515 E. Broadway, Missoula, MT, 59802-4929
person
Provider Profile Details
NPI Number
1205011020
Provider Name
Timothy Mark Radle
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1515 E. Broadway, Missoula, MT, 59802-4929
Phone Number
406-728-5353
Fax Number
406-728-9628
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 E. Broadway
City
State
Zip
59802-4929
Phone Number
406-728-5353
Fax Number
406-728-9628
person
Provider Business Mailing Address Details
Address
1515 E. Broadway
City
State
Zip
59802-4929
Phone Number
406-728-5353
Fax Number
406-728-9628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1347 (Montana)
Definition
Definition to come...
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