Individual
RAINE J ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
124 CUSTER ST, WOLF POINT, MT 59201-1640
(406) 653-1872
Mailing address
124 CUSTER ST, WOLF POINT, MT 59201-1640
(406) 653-1872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1394
MT
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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