Individual
JACQUELINE K ISALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
430 E PARK, LIVINGSTON, MT 59047
(406) 222-2812
Mailing address
PO BOX 533, LIVINGSTON, MT 59047
(406) 222-2812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1307
MT
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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