Organization
PEAK LAC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN J FRIELDS LAC (OWNER/PRESIDENT)
(406) 827-1957
Entity
Organization
Contact information
Practice address
391 BIG BEAVER CREEK RD, TROUT CREEK, MT 59874-9631
(406) 827-1957
Mailing address
391 BIG BEAVER CREEK RD, TROUT CREEK, MT 59874-9631
(406) 827-1957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1419
MT
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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