Individual
BERNADETTE MONTAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-210
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MON314194
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/31/2007
Last updated
05/02/2011
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