Individual
ELY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 HODGSON RD, COLUMBIA FALLS, MT 59912-9063
(406) 897-2788
Mailing address
PO BOX 2218, COLUMBIA FALLS, MT 59912-2218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-72607
MT
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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