MR. Wallace D Hartman JR., M.S. LCPC

NPI #1487681755 in Kalispell, Montana

Provider Information

NPI Number: 1487681755
Entity Type: Individual
Name: MR. Wallace D Hartman JR., M.S. LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: M.S. LCPC
Enumeration Date: Jun 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 307 1ST AVE E
Address 2: SUITE 20A
City: Kalispell
State: Montana
ZIP Code: 59901-4978
Phone: (406) 257-5838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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