Individual
PETER S AIMSBACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACLC
Contact information
Practice address
15 3RD AVE E, POLSON, MT 59860-2113
(406) 319-2082
Mailing address
15 3RD AVE E, POLSON, MT 59860-2113
(406) 319-2082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-81221
MT
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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