Robert Bigback Jr., LAC
Counselor, Addiction (Substance Use Disorder) in Butte, MT. Individual provider (NPI-1).
NPI number1730853094
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1730853094
- Entity type
- Individual (NPI-1)
- Name
- Robert Bigback Jr.
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2021
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 50007 | MT | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | BBH-LAC-LIC-50007 | MT |
Practice location
2656 S Montana StButte, MT 59701-3120
Phone 406-590-2747
Mailing address
2656 S Montana StButte, MT 59701-3120
Phone 406-590-2747
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