ANDREW HEAVYRUNNER
Counselor
Active
Individual
NPI: 1912624594
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | 58896 (MT) |
Frequently Asked Questions
NPI 1912624594 is the National Provider Identifier for ANDREW HEAVYRUNNER, a Counselor provider located in Missoula, MT. This NPI was enumerated on October 24, 2022.
ANDREW HEAVYRUNNER practices at 1511 S RUSSELL ST, Missoula, MT 59801.
Quick Facts
- NPI
- 1912624594
- Type
- Individual
- Enumerated
- Oct 24, 2022
- Last Updated
- Nov 21, 2022
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