Individual
DR. SUE ANNE TANNER WORKMAN POLLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LAC
Contact information
Practice address
1023 5TH ST, HAVRE, MT 59501-4106
(406) 217-5222
Mailing address
1023 5TH ST, HAVRE, MT 59501-4106
(406) 217-5222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1253
MT
1041C0700X
Clinical Social Worker
Primary
352 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070165
BLUE CROSS/SHIELD OF MONT
MT
01
—
01752-C
NEVADA LCSW LICENSE
NV
01
—
1253 LAC
LAC
MT
01
—
16797
CALIFORNIA LCSW LICENSE
CA
01
—
352 LCSW
LCSW
MT
Enumeration date
07/28/2006
Last updated
05/11/2015
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