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Individual

LANCE E ELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC, LCPC

Contact information

Practice address
505 W MAIN ST, LEWISTOWN, MT 59457-5703
(406) 535-6614
(406) 535-6614
Mailing address
505 W MAIN ST, LEWISTOWN, MT 59457-5703
(406) 535-6614
(406) 535-6614

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
743
MT
101YM0800X
Mental Health Counselor
Primary
1274
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
760600
BLUE CROSS/BLUE SHIELD
MT
Enumeration date
10/05/2005
Last updated
02/22/2017
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