Individual
JOHN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
120 S MAIN ST, LIVINGSTON, MT 59047-2624
(406) 222-7641
Mailing address
120 S MAIN ST, LIVINGSTON, MT 59047-2624
(406) 222-7641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
67406
MT
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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