Individual
JOHN PIACQUADIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
216 W BROADWAY ST, PHILIPSBURG, MT 59858
(845) 282-2194
Mailing address
PO BOX 445, PHILIPSBURG, MT 59858-0445
(845) 282-2194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
64668
MT
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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