Individual
SANDY A DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
521 4TH ST, HAVRE, MT 59501-3649
(406) 395-6950
Mailing address
521 4TH ST, HAVRE, MT 59501-3649
(406) 395-6950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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