Charlie Bear Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Harlem, MT

NPI

1770144529

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

BBH-LAC-LIC-37557 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2019-06-24

Last updated

2019-06-24