Individual
BONNY JEAN WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 1ST ST E STE F, POLSON, MT 59860-2153
(406) 505-4377
Mailing address
PO BOX 295, RONAN, MT 59864-0295
(406) 203-8180
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BBH-ACLC-LIC-79239
MT
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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