Larry J Lawler, M.S.C, L.C.P.C

Individual provider Active NPI Professional Counselor · Eureka, MT

NPI 1679889240 · NPPES record last updated Aug 20, 2010

Key facts

NPI
1679889240
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1502-LCPC (MT)
Practice address
403 1St. Ave. East
Eureka, MT 59917
Phone
(406) 291-2827
NPI assigned
Aug 20, 2010
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
1502-LCPCMTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1502-LCPC MT Yes

Addresses

Primary practice location

403 1St. Ave. East
Eureka, MT 59917

Mailing address

PO Box 245
Trego, MT 59934-0245
Phone (406) 291-2827

Other providers in Eureka, MT

All providers in Eureka, MT · Professional Counselor in Montana

Sources for this page

Verify at the official NPI Registry.