Individual
MR. SHERIDAN JOHN GROUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.C.L.C.
Contact information
Practice address
503 POPIMI ST, BROWNING, MT 59417-5315
(406) 338-3948
Mailing address
503 POPIMI ST, BROWNING, MT 59417-5315
(406) 338-3948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23070
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407215684
—
MT
Enumeration date
08/28/2019
Last updated
11/27/2023
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