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Dale Good Gun
Addiction (Substance Use Disorder) Counselor in Butte, Montana
NPI 1750147005

Dale Good Gun is an Addiction (Substance Use Disorder) Counselor based in Butte, MT and is specialized in Addiction (Substance Use Disorder). Dale Good Gun practices in Butte, MT. The NPI Number for Dale Good Gun is 1750147005 and holds a License No. BBH-LAC-LIC-1248 (Montana).

The current practice location address for Dale Good Gun is 105 Rampart Dr Apt 105, Butte, MT and can be reached out via phone at 406-479-4813.

Location: 105 Rampart Dr Apt 105, Butte, MT, 59701-4353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750147005
Provider Name
Dale Good Gun
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Rampart Dr Apt 105, Butte, MT, 59701-4353
Phone Number
406-479-4813
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
105 Rampart Dr Apt 105
City
Butte
State
Montana
Zip
59701-4353
Phone Number
406-479-4813
Fax Number
person
Provider Business Mailing Address Details
Address
105 Rampart Dr Apt 105
City
Butte
State
Montana
Zip
59701-4353
Phone Number
406-479-4813
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
BBH-LAC-LIC-1248 (Montana)
Definition
Definition to come...
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