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Individual

MR. JAMES MARION DEL DUCA III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC-CANDIDATE

Contact information

Practice address
333 HAGGERTY LN STE 2, BOZEMAN, MT 59715-1780
(406) 599-2463
Mailing address
333 HAGGERTY LN STE 2, BOZEMAN, MT 59715-1780
(406) 599-2463

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-14219
MT
101YP1600X
Pastoral Counselor
102L00000X
Psychoanalyst

Other

Enumeration date
11/06/2017
Last updated
11/06/2017
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