| Doctor Name: | RICHARD DALE BARTLETT |
| NPI Number: | 1023218039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | 1325 |
| Business Practice Address: | 234 2nd St W Kalispell, MT - 599014412 |
| Business Phone Number: | 4062575046 |
| Business Fax Number: | 4062575092 |
| Mailing Address: | Po Box 547, KALISPELL |
| State: | MT |
| Postal Code: | 599030547 |
| Phone Number: | 4062575046 |
| Fax Number: | 4062575092 |
| NPI Enumeration Date: | 07/19/2007 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1325 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |