Individual
BLYTHE SIEBENALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
320 N 1ST ST STE G, HAMILTON, MT 59840-2569
(406) 662-1050
Mailing address
320 N 1ST ST STE G, HAMILTON, MT 59840-2569
(406) 662-1050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-16193
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-50481
MT
Other
Enumeration date
07/08/2016
Last updated
05/18/2024
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