Individual
PETER JEROLD BIG HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1230 NORTH 30TH ST, BILLINGS, MT 59101-0126
(406) 534-4558
(406) 290-7450
Mailing address
1230 NORTH 30TH ST, BILLINGS, MT 59102
(406) 534-4558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-45219
MT
Other
Enumeration date
12/08/2020
Last updated
01/14/2021
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