Individual
SAMANTHA ELIZABETH CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
202 BROOKS ST, MISSOULA, MT 59801-4019
(406) 926-1453
Mailing address
133 WAPIKIYA DR, MISSOULA, MT 59803-1230
(208) 419-1830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-72160
MT
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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