Individual
RENEE' RUNNING RABBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
802 MAIN ST STE C, POLSON, MT 59860-3200
(406) 883-7310
(406) 883-7312
Mailing address
802 MAIN ST STE C, POLSON, MT 59860-3200
(406) 883-7310
(406) 883-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1060
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320099
—
MT
01
—
761030
BLUE CROSS BLUE SHIELD
MT
Enumeration date
08/20/2006
Last updated
07/09/2007
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