Individual provider · Type 1 NPI
Mary Louise Deroche, L.A.C.
Addiction (Substance Use Disorder) Counselor · Browning, MT
NPI number
1649828641
Active
Practice location
807 North Piegan Street
Browning, MT 59417
Mailing address
PO Box 450
Browning, MT 59417-0450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 786 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1649828641
Mary Louise Deroche, L.A.C.'s National Provider Identifier is 1649828641, issued on Sep 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Browning, MT. The record was last updated on Nov 27, 2023.