Individual
RONALD HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
630 W MERCURY ST, BUTTE, MT 59701-1510
(406) 299-3448
(406) 299-3450
Mailing address
109 BELL ST, BUTTE, MT 59701-8607
(406) 490-6656
(406) 299-3450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-LIC-1421
MT
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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