person
Thomas John Basolo, LAC
Addiction (Substance Use Disorder) Counselor in Missoula, Montana
NPI 1861270944

Thomas John Basolo is an Addiction (Substance Use Disorder) Counselor based in Missoula, MT and is specialized in Addiction (Substance Use Disorder). Thomas John Basolo practices in Missoula, MT and has the professional credentials of LAC. The NPI Number for Thomas John Basolo is 1861270944 and holds a License No. BBH-LAC-LIC-64524 (Montana).

The current practice location address for Thomas John Basolo is 2001 S Russell St, Missoula, MT and can be reached out via phone at 406-830-4167 and via fax at 406-542-6632.

Location: 2001 S Russell St, Missoula, MT, 59801-6621
person
Provider Profile Details
NPI Number
1861270944
Provider Name
Thomas John Basolo
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2001 S Russell St, Missoula, MT, 59801-6621
Phone Number
406-830-4167
Fax Number
406-542-6632
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Russell St
City
State
Zip
59801-6621
Phone Number
406-830-4167
Fax Number
406-542-6632
person
Provider Business Mailing Address Details
Address
2001 S Russell St
City
State
Zip
59801-6621
Phone Number
406-830-4167
Fax Number
406-542-6632
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
BBH-LAC-LIC-64524 (Montana)
Definition
Definition to come...
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