Individual provider · Type 1 NPI

Jaci Marie Hanley, LAC, SWLC

Addiction (Substance Use Disorder) Counselor · Butte, MT

NPI number 1154996536 Active

Practice location

445 Centennial Ave
Butte, MT 59701-2870

Fax (406) 723-3059

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XBBH-LCSW-LIC-72075 (MT)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-LAC-LIC-57045 (MT)

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

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About NPI 1154996536

Jaci Marie Hanley, LAC, SWLC's National Provider Identifier is 1154996536, issued on May 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Butte, MT. The record was last updated on Jul 23, 2024.