Individual
MS. SANDRA DISTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 N 29TH ST, BILLINGS, MT 59101-0122
(406) 869-6867
(406) 294-8580
Mailing address
1231 N 29TH ST, BILLINGS, MT 59101-0122
(406) 869-6867
(406) 294-8580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-LIC-4178
MT
Other
Enumeration date
01/10/2014
Last updated
10/22/2014
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