| NPI | 1932520459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN WATSON Member 406-490-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 8) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: MT 9) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2024-02-16 |