Individual
CAROL GEORGEANNE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 FRANKLIN STREET, FT BENTON, MT 59442
(406) 622-3625
Mailing address
PO BOX 459, FORT BENTON, MT 59442-0459
(406) 622-3211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
196
MT
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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