Individual
JILL SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACC
Contact information
Practice address
285 2ND AVENUE WN, SUITE #100, KALISPELL, MT 59901
(304) 273-0112
Mailing address
285 2ND AVENUE WN, SUITE #100, KALISPELL, MT 59901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16383
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16383
MONTANA BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
04/19/2017
Last updated
04/19/2017
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