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1407032238
JIM HAVARD
LIVINGSTON, MT
NPI
1407032238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1208)
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
-- JIM HAVARD L.A.C.
430 E PARK ST
LIVINGSTON, MT 59047-2755
Phone number: 406-222-2812
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Mailing Address
-- JIM HAVARD L.A.C.
PO BOX 1587
LIVINGSTON, MT 59047-5587
Phone number: 406-222-2812
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