NPI 1700559101

River Gerard Segar, CBHPSS

Practitioner Peer Specialist Missoula, MT

Practice location

Address: 202 Brooks St STE 300, Missoula, MT 59801-4019
Phone: (406) 926-1453
Fax: (406) 926-1454
Mailing address: 6860 Donovan Creek Rd, Clinton, MT 59825-9745

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence BBH-BHPS-CRT-49018 (MT)

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Registry record

NPI: 1700559101
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2021
Record last updated: 26 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.