Organization
EASTERN FRONT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA CARPENTER SWLC LAC (OWNER)
(406) 278-0440
Entity
Organization
Contact information
Practice address
600 S MAIN ST STE 10, CONRAD, MT 59425-2532
(406) 278-0440
(406) 278-0330
Mailing address
600 S MAIN ST STE 10, CONRAD, MT 59425-2532
(406) 278-0440
(406) 278-0330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/15/2019
Last updated
12/16/2019
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