Individual
MARTHA JO ACTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8010 MOLT RD, BILLINGS, MT 59106-9604
(406) 670-3148
Mailing address
PO BOX 31633, BILLINGS, MT 59107-1633
(406) 670-3148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-3329
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LAC-LIC-3329
MONTANA BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
12/29/2016
Last updated
12/29/2016
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