Individual
MR. SHALOM FRANCHONT WALTENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
527 LAKE ELMO DR, BILLINGS, MT 59105-3051
(406) 208-4289
Mailing address
916 DOROTHY LN, BILLINGS, MT 59105-2506
(406) 208-4289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-3393
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-43995
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518449222
—
MT
Enumeration date
08/30/2018
Last updated
04/24/2025
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