Individual
PETER M SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
RR 1 BOX 664, BOX ELDER, MT 59521-9797
(406) 395-4818
(406) 395-4861
Mailing address
RR 1 BOX 664, BOX ELDER, MT 59521-9797
(406) 395-4818
(406) 395-4861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1271
MT
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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