Individual
ELAINE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-1687
Mailing address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-0234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28159
MT
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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