Individual
CRAIG LYLE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 6TH AVE E, POLSON, MT 59860-2726
(406) 439-7401
Mailing address
PO BOX 1365, POLSON, MT 59860-1365
(406) 439-7401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
42585
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-42585
MT
1041C0700X
Clinical Social Worker
BBH-LCSW-42585
—
Other
Enumeration date
02/07/2020
Last updated
07/18/2024
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