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Organization

NEW DIRECTIONS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JODI KRISTJANSON LAC (OWNER)
(406) 294-9606
Entity
Organization

Contact information

Practice address
2116 BROADWATER AVE STE 205, BILLINGS, MT 59102-4764
(406) 294-9606
(406) 294-9607
Mailing address
2116 BROADWATER AVE STE 205, BILLINGS, MT 59102-4764
(406) 294-9606
(406) 294-9607

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528003456
LAC
MT
01
1891781761
LAC
MT
Enumeration date
06/17/2018
Last updated
09/24/2018
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