Individual
CHARLIE BEAR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 ARENA AVE, HARLEM, MT 59526
(406) 353-4175
(406) 353-4771
Mailing address
PO BOX 656, HARLEM, MT 59526-0656
(406) 353-4175
(406) 353-4771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-37557
MT
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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