Individual
MARY MARGARET GRUPENHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
775 W GOLD ST, BUTTE, MT 59701-2301
(406) 496-2380
Mailing address
2105 OTTAWA ST, BUTTE, MT 59701-6115
(509) 540-0865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-55515
MT
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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