Individual
MR. ASHLEY BURDETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC/LCPC
Contact information
Practice address
914 20TH ST SOUTH, GREAT FALLS, MT 59405
(406) 217-6007
Mailing address
914 20TH ST SOUTH, GREAT FALLS, MT 59405
(406) 217-6007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-64002
MT
101YM0800X
Mental Health Counselor
BBH-LCPC-LTC-71052
MT
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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