Individual
MRS. IVA M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
833 N MAIN ST, HELENA, MT 59601-3352
(406) 422-4933
Mailing address
PO BOX 5771, HELENA, MT 59604-5771
(406) 422-4933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-55556
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55556
STATE LICENSE
MT
Enumeration date
04/28/2022
Last updated
04/28/2022
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