Individual
LEANN JOYCE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
304 4TH AVE E, SUPERIOR, MT 59872
(406) 822-5422
(406) 822-0786
Mailing address
PO BOX 622, SUPERIOR, MT 59872-0622
(406) 822-5422
(406) 822-0786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-18890
MT
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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