Provider Demographics
NPI:1174689103
Name:DEVER, CHESTER MORRIS (LCPC)
Entity Type:Individual
Prefix:
First Name:CHESTER
Middle Name:MORRIS
Last Name:DEVER
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 HOLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-1706
Mailing Address - Country:US
Mailing Address - Phone:406-443-5330
Mailing Address - Fax:
Practice Address - Street 1:24 E 16TH AVE
Practice Address - Street 2:CENTER FOR MENTAL HEALTH-PACT
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3445
Practice Address - Country:US
Practice Address - Phone:406-495-8545
Practice Address - Fax:406-443-3420
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC 1266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000743380OtherBLUE CROSS-SHIELD OF MONT