COLTON BRAGG HACKLEY LCPC NPI 1619986056

NPI Information

Colton Bragg Hackley, LCPC is a counselor in Kalispell, MT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Colton Bragg Hackley, LCPC NPI is 1619986056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 3RD ST E
KALISPELL, MT
ZIP 59901-573
Phone: (406) 755-9471
Fax: (406) 758-8113

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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