Individual
MS. DYLAN ANN SPRADLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BBH-SWLC-LIC-56957
Contact information
Practice address
4617 BRISBANE PL, MISSOULA, MT 59808-5503
(509) 387-1083
Mailing address
4617 BRISBANE PL, MISSOULA, MT 59808-5503
(509) 387-1083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CL60230055
WA
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-56857
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-SWLC-LIC-56857
BOARD OF BEHAVIORAL HEALTH OF MONTANA
MT
Enumeration date
11/24/2014
Last updated
07/09/2022
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