Individual
ISAAC C COY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2740 LIFESTYLE LN, HELENA, MT 59602-0242
(406) 370-7890
(406) 443-5490
Mailing address
2740 LIFESTYLE LN, HELENA, MT 59602-0242
(406) 370-7890
(406) 443-5490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1257
MT
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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