Individual
MR. DURAND BEAR MEDICINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
503 POPIMI STREET, BROWNING, MT 59417
(406) 338-7912
(406) 338-2491
Mailing address
PO BOX 1289, BROWNING, MT 59417-1289
(406) 338-7912
(406) 338-2491
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-3420
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407215684
SOUTHERN DIABETES HEALTH CENTER
MT
Enumeration date
08/16/2016
Last updated
08/16/2016
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