Individual provider · Type 1 NPI

Tina King, LAC

Addiction (Substance Use Disorder) Counselor · Box Elder, MT

NPI number 1104230416 Active

Practice location

535 Clinic Rd E
Box Elder, MT 59521-8826

Call (406) 395-4818 Map

Fax (406) 395-4861

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1387 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104230416

Tina King, LAC's National Provider Identifier is 1104230416, issued on Jun 13, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Box Elder, MT. The record was last updated on Jun 13, 2014.