Individual
AMY BIRKELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
630 W MERCURY ST, BUTTE, MT 59701-1510
(406) 299-3448
(406) 299-3450
Mailing address
3435 N HILLCREST DR, BUTTE, MT 59701-6401
(406) 593-0399
(406) 496-6035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-LIC-4124
MT
Other
Enumeration date
09/23/2014
Last updated
04/24/2020
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