Individual
MRS. SHAWNA RAE HECKEROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LAC
Contact information
Practice address
310 N 4TH ST, HAMILTON, MT 59840
(406) 531-5670
Mailing address
PO BOX 984, CORVALLIS, MT 59828-0984
(406) 531-5670
(406) 363-5271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1174
MT
1041C0700X
Clinical Social Worker
Primary
790
MT
Other
Enumeration date
12/14/2007
Last updated
02/28/2017
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