Individual
CRYSTAL BEAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9808
Mailing address
140 N RUSSELL ST, MISSOULA, MT 59801-1704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-22933
MT
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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