Individual
LYNDON ROBERT KACICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
517 S 10TH ST, LIVINGSTON, MT 59047-3710
(406) 223-3864
Mailing address
517 S 10TH ST, LIVINGSTON, MT 59047-3710
(406) 223-3864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1250
MT
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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