| Eastern Front Counseling LLC | |
|
600 S Main St Ste 10 Conrad MT 59425-2532 | |
| (406) 278-0440 | |
| (406) 278-0330 |
| Full Name | Eastern Front Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 600 S Main St Ste 10, Conrad, Montana |
| Authorized Official Name and Position | Tonya Carpenter (OWNER) |
| Authorized Official Contact | 4062780440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Front Counseling LLC 600 S Main St Ste 10 Conrad MT 59425-2532 Ph: (406) 278-0440 | Eastern Front Counseling LLC 600 S Main St Ste 10 Conrad MT 59425-2532 Ph: (406) 278-0440 |
| NPI Number | 1427604354 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427604354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
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