Andrew C Heavyrunner
Andrew C Heavyrunner is a Counselor in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2022.
- Licensed in
- MT
- In the registry since
- 2022
Practice location Address checks out
1511 S Russell StMissoula, MT 59801-3629
Phone: (406) 829-9515
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 58896 (MT) |
|---|
Record details
| NPI number | 1912624594 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
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