LYNDON ROBERT KACICK

LIVINGSTON, MT
NPI1275830010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT  1250)
Enumeration Date2011-02-14
Last Update Date2011-02-14
Business Address
LYNDON ROBERT KACICK LAC
517 S 10TH ST
LIVINGSTON, MT 59047-3710
Phone number: 406-223-3864
Mailing Address
LYNDON ROBERT KACICK LAC
517 S 10TH ST
LIVINGSTON, MT 59047-3710
Phone number: 406-223-3864