Individual
MR. JERRY D SCHLEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,LAC
Contact information
Practice address
119 S KENDRICK AVE, GLENDIVE, MT 59330-1626
(406) 377-5942
(406) 377-3050
Mailing address
417 HEMLOCK AVE, GLENDIVE, MT 59330-3113
(406) 377-5942
(406) 377-3050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
318
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004126
NCAC I
—
01
—
318
LAC
MT
01
—
76058
BCBS PROVIDER NUMBER
MT
Enumeration date
01/29/2007
Last updated
07/08/2007
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