Individual
LEVI GROSSKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
117 NORTHERN AVE STE B, HUNTLEY, MT 59037-9101
(406) 839-8844
Mailing address
PO BOX 28, HUNTLEY, MT 59037-0028
(406) 839-8844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 1356
MT
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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