District II Alcohol and Drug Program
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Glendive, MT
NPI 1144366246 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1144366246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 211-07 (MT)
- Legal business name
- DISTRICT II ALCOHOL AND DRUG PROGRAM
- Practice address
- 119 S Kendrick Ave
Glendive, MT 59330-1626 - Phone
- (406) 377-5942
- Fax
- (406) 377-3050
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Jerry D Schlepp, M.A., LAC
- Title
- Executive Director
- Phone
- (406) 377-5942
Corporate family (same tax ID) 1
Practitioners 5
-
Donald Bauman, LAC
-
Virginia Berube, LAC
-
Leanne Kathryn Hoagland, MAB. LAC, SAP
-
Allison Mae Neal, ADDICTION COUNSELOR
-
Jerry D Schlepp, M.A.,LAC
National Provider Directory
- Tax ID family
- District II Alcohol and Drug Program
Locations
119 S Kendrick Ave
Glendive, MT 59330
Phone (406) 377-5942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 211-07 | MT | Yes |
Addresses
Primary practice location
119 S Kendrick Ave
Glendive, MT 59330-1626
Mailing address
119 S Kendrick Ave
Glendive, MT 59330-1626
Phone (406) 377-5942
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320042 | Medicaid | MT | |
| 76361 | Other | MT | BCBS PROVIDEER NUMBER |
Other providers in Glendive, MT
- Jennifer Cunningham
- Dawson County Family Planning
- Joan Dickson
- Dale Darwin Diede
- Kelly Ann Dinnan
- Eden Ocp
- Alicia Esteves
- Laurie Francis
- Ft Reynolds
- Gabbert Chiropractic Center Inc.
All providers in Glendive, MT · Addiction (Substance Use Disorder) Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.