Individual
STEFAN M SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
285 2ND AVENUE WEST N, KALISPELL, MT 59901-3910
(406) 890-2570
Mailing address
285 2ND AVENUE WEST N, KALISPELL, MT 59901-3910
(406) 890-2570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-43000
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598234858
—
MT
Enumeration date
05/22/2020
Last updated
05/22/2020
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