Individual
GLENDA R COMES AT NIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1210 E MAIN ST, CUT BANK, MT 59427-3152
(406) 873-2155
Mailing address
1210 E MAIN ST, CUT BANK, MT 59427-3152
(406) 873-2155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1293
MT
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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