Individual
TAYLOR HAIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 MAIN ST STE B, BILLINGS, MT 59105-1712
(406) 969-5183
Mailing address
1411 MAIN ST STE B, BILLINGS, MT 59105-1712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50425
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50425
BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
07/14/2022
Last updated
07/14/2022
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