Individual
GWEN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HWC, CPT, CTRS
Contact information
Practice address
145 TAMARACK WOODS DR, LAKESIDE, MT 59922-9642
(406) 407-3833
Mailing address
PO BOX 637, LAKESIDE, MT 59922-0637
(406) 407-3833
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
ID-A-3438467
MT
225800000X
Recreation Therapist
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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