Individual
BRIAN C CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
101 CHURCH ST, STEVENSVILLE, MT 59870-2102
(406) 360-2708
Mailing address
PO BOX 397, STEVENSVILLE, MT 59870-0397
(406) 360-2708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
796
MT
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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