Robin Lynn Laine
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Shelby, MT
NPI 1790200541 · NPPES record last updated Aug 12, 2017
Key facts
- NPI
- 1790200541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- BBH-LAC-LIC-4927 (MT)
- Practice address
- 529 Park Ave
Shelby, MT 59474-2131 - Phone
- (208) 573-1066
- NPI assigned
- Aug 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-4927 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-4927 | MT | Yes |
Addresses
Primary practice location
529 Park Ave
Shelby, MT 59474-2131
Mailing address
PO Box 1012
Shelby, MT 59474-1012
Phone (208) 573-1066
Other providers in Shelby, MT
- Heidi Lynn Hunsucker
- Shelly Hunt
- Gregory Trandon Lee Jefferson
- Charlene Yvette Johnson
- Alexander Kastner
- Larry J. Bonderud, OD
- Rachael Lehr
- Logan Health - Shelby
- Logan Health - Shelby
- Logan Health Assisted Living - Shelby
All providers in Shelby, 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 Aug 12, 2017. 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.