Individual
MRS. TRACEY ANN GOERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
120 W TOWNE ST, GLENDIVE, MT 59330-1702
(406) 377-2072
(406) 377-2071
Mailing address
PO BOX 361, GLENDIVE, MT 59330-0361
(406) 377-2072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBHLACLIC50005
MT
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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