Individual
MRS. SUSAN GAYLE MOLENDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
905 ONEIL ST, DEER LODGE, MT 59722-1735
(406) 415-6247
Mailing address
905 ONEIL ST, DEER LODGE, MT 59722-1735
(406) 415-6247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-48853
MT
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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