Individual
MRS. IRMA FAYE SKUNKCAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
656 AGENCY MAIN STREET, HARLEM, MT 59526
(406) 353-4175
(406) 353-4771
Mailing address
P.O. BOX 552, BROWNING, MT 59417-0552
(406) 338-6330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1149-LAC
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-1149
MT
Other
Enumeration date
05/18/2007
Last updated
04/21/2017
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