Individual
MR. TIM G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
209 2ND ST SE, SIDNEY, MT 59270-4305
(406) 433-4097
Mailing address
209 2ND ST SE, SIDNEY, MT 59270-4305
(406) 433-4097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
315
MT
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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