| Jeff C. Richardson, Lac Llc | |
|
127 E Front St Wolf Point MT 59201-1402 | |
| (406) 653-2212 | |
| (406) 653-2112 |
| Full Name | Jeff C. Richardson, Lac Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 127 E Front St, Wolf Point, Montana |
| Authorized Official Name and Position | Jeff Charles Richardson (LICENSED ADDICTION COUNSELOR) |
| Authorized Official Contact | 4067837060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff C. Richardson, Lac Llc 127 E Front St Wolf Point MT 59201-1402 Ph: (406) 653-2212 | Jeff C. Richardson, Lac Llc 127 E Front St Wolf Point MT 59201-1402 Ph: (406) 653-2212 |
| NPI Number | 1124584578 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124584578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |