Dustin William Edgerton, LMFT

Individual provider Active NPI Marriage & Family Therapist · Helena, MT

NPI 1487911541 · NPPES record last updated Jul 12, 2016

Key facts

NPI
1487911541
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
5856229-3902 (UT)
Practice address
2620 Colonial Dr
Helena, MT 59601-4998
Phone
(406) 443-1660
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5856229-3902UTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 5856229-3902 UT Yes

Addresses

Primary practice location

2620 Colonial Dr
Helena, MT 59601-4998

Mailing address

41 Grandview Loop
Townsend, MT 59644-9550
Phone (406) 461-6750

Other names

  • Dusty William Edgerton Other name

Other providers in Helena, MT

All providers in Helena, MT · Marriage & Family Therapist in Montana

Sources for this page

Verify at the official NPI Registry.