Individual
AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
Mailing address
417 S 39TH ST, BILLINGS, MT 59101-3541
(406) 860-1106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1175
MT
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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