Individual
MRS. PATI JO KILLEBREW-HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT 880 LAC
Contact information
Practice address
1220 CENTRAL AVE STE 1B, GREAT FALLS, MT 59401
(406) 268-1587
Mailing address
1220 CENTRAL AVE STE 1B, GREAT FALLS, MT 59401
(406) 268-1587
(406) 268-1572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
880
MT
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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