Individual
MR. WALTER F SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAC, NCAC II
Contact information
Practice address
208 N 29TH ST, SUITE 234, BILLINGS, MT 59101-1985
(406) 794-1393
Mailing address
545 CARAVAN AVE, BILLINGS, MT 59105-2801
(406) 794-1393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
838
MT
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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