Individual
DALE GOOD GUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 RAMPART DR APT 105, BUTTE, MT 59701-4353
(406) 479-4813
Mailing address
105 RAMPART DR APT 105, BUTTE, MT 59701-4353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-1248
MT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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