Individual
NATHAN L CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
527 LAKE ELMO DR, BILLINGS, MT 59105-3051
(406) 694-5000
(406) 245-1156
Mailing address
540 JEMSTONE DR, BILLINGS, MT 59101-6854
(406) 694-5000
(406) 245-1156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1352
MT
1041C0700X
Clinical Social Worker
Primary
1043
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366742199
—
MT
Enumeration date
10/27/2010
Last updated
04/16/2020
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