Individual
SUFIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
61262 WATSON RD, SAINT IGNATIUS, MT 59865-9124
(406) 381-3962
Mailing address
35750 SPIKE CT, RONAN, MT 59864-9064
(406) 579-8528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-71121
MT
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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