Individual
ASTA PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MAIN STREET, MILES CITY, MT 59301-3037
(406) 220-5060
(406) 306-0024
Mailing address
1100 MAIN STREET, MILES CITY, MT 59301-3037
(406) 220-5060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-42772
MT
101YP2500X
Professional Counselor
BBH-LCPC-LIC-42772
MT
Other
Enumeration date
03/24/2020
Last updated
01/26/2023
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