person
Lara Mattson Radle, LCPC
Professional Counselor in Missoula, Montana
NPI 1629306287

Lara Mattson Radle is a Professional Counselor based in Missoula, MT and is specialized in Professional. Lara Mattson Radle practices in Missoula, MT and has the professional credentials of LCPC. The NPI Number for Lara Mattson Radle is 1629306287 and holds a License No. 1462-LCPC (Montana).

The current practice location address for Lara Mattson Radle is 1515 E Broadway St, Missoula, MT and can be reached out via phone at 406-728-2662 and via fax at 406-728-2879.

Location: 1515 E Broadway St, Missoula, MT, 59802-4929
person
Provider Profile Details
NPI Number
1629306287
Provider Name
Lara Mattson Radle
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1515 E Broadway St, Missoula, MT, 59802-4929
Phone Number
406-728-2662
Fax Number
406-728-2879
Provider Enumeration Date
11/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 E Broadway St
City
State
Zip
59802-4929
Phone Number
406-728-2662
Fax Number
406-728-2879
person
Provider Business Mailing Address Details
Address
1515 E Broadway St
City
State
Zip
59802-4929
Phone Number
406-728-2662
Fax Number
406-728-2879
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1462-LCPC (Montana)
Definition
Definition to come...
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