Individual
CAROL FAYE DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
111 N LAST CHANCE GULCH, SUITE 1E, HELENA, MT 59601-4125
(406) 447-3265
Mailing address
111 N LAST CHANCE GULCH, SUITE 1E, HELENA, MT 59601-4125
(406) 447-3265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1105
MT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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