Individual
TERRIE SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
920 4TH AVE N, GREAT FALLS, MT 59401-1514
(406) 727-8832
(406) 727-8172
Mailing address
920 4TH AVE N, GREAT FALLS, MT 59401-1514
(406) 727-8832
(406) 727-8172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
223
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810410694
ROCKY MOUNTAIN TREATMENT CENTER
MT
Enumeration date
07/03/2012
Last updated
07/03/2012
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