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1861849366
RONALD HENDRICKSON
BUTTE, MT
NPI
1861849366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT LAC-LAC-LIC-1421)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- RONALD HENDRICKSON LAC
630 W MERCURY ST
BUTTE, MT 59701-1510
Phone number: 406-299-3448
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Mailing Address
-- RONALD HENDRICKSON LAC
109 BELL ST
BUTTE, MT 59701-8607
Phone number: 406-490-6656
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