Individual
MR. ROBERT STANSBURY HAGSTROM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
644 GRAND AVE, STE 4, BILLINGS, MT 59101-5800
(406) 245-4005
(406) 245-6441
Mailing address
644 GRAND AVE STE 4, BILLINGS, MT 59101-5857
(406) 245-4005
(406) 245-6441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
372
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251888
—
MT
Enumeration date
12/18/2006
Last updated
07/08/2007
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