Individual provider · Type 1 NPI
Tracey Ann Goerndt, LAC
Addiction (Substance Use Disorder) Counselor · Glendive, MT
NPI number
1801678149
Active
Practice location
120 W Towne St
Glendive, MT 59330-1702
Fax (406) 377-2071
Mailing address
PO Box 361
Glendive, MT 59330-0361
Other practice locations
- 7 West Montana Ave, Baker, MT 59313 · (406) 377-2072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBHLACLIC50005 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801678149
Tracey Ann Goerndt, LAC's National Provider Identifier is 1801678149, issued on Oct 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendive, MT. The record was last updated on Oct 20, 2023.