Individual
ROBERT HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
711 CALIFORNIA AVENUE, LIBBY, NE 59923
(406) 293-7731
(406) 293-2823
Mailing address
711 CALIFORNIA AVE, LIBBY, MT 59923-1903
(406) 293-7731
(406) 293-2823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1093
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000076391
BLUE CROSS BLUE SHIELD
MT
05
—
0320372
—
MT
Enumeration date
03/13/2007
Last updated
07/08/2007
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