Individual
JIM HAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
430 E PARK ST, LIVINGSTON, MT 59047-2755
(406) 222-2812
(406) 222-4764
Mailing address
PO BOX 1587, LIVINGSTON, MT 59047-5587
(406) 222-2812
(406) 222-4764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1208
MT
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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