Individual
ATHENA RAE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1732 72ND ST. W., BILLINGS, MT 59106
(406) 655-2100
Mailing address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
(406) 655-2100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-30187
MT
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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