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Organization
JEFF C. RICHARDSON, LAC LLC
Active
Organization
JEFF C. RICHARDSON, LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF CHARLES RICHARDSON (LICENSED ADDICTION COUNSELOR)
(406) 783-7060
Entity
Organization
Contact information
Practice address
127 E FRONT ST, WOLF POINT, MT 59201-1402
(406) 653-2212
(406) 653-2112
Mailing address
127 E FRONT ST, WOLF POINT, MT 59201-1402
(406) 653-2212
(406) 653-2112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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