PETER JEROLD BIG HAIR

BILLINGS, MT
NPI1194321836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT  BBH-LAC-LIC-45219)
Enumeration Date2020-12-08
Last Update Date2021-01-14
Business Address
PETER JEROLD BIG HAIR LAC
1230 NORTH 30TH ST
BILLINGS, MT 59101-0126
Phone number: 406-534-4558
Mailing Address
PETER JEROLD BIG HAIR LAC
1230 NORTH 30TH ST
BILLINGS, MT 59102
Phone number: 406-534-4558
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