Individual
MS. KIM M AZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
308 MISSION DRIVE, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4409
Mailing address
PO BOX 427, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
332
MT
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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