Healthcare Provider Details

I. General information

NPI: 1902390651
Provider Name (Legal Business Name): NEW DIRECTIONS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2018
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 BROADWATER AVE STE 205
BILLINGS MT
59102-4764
US

IV. Provider business mailing address

2116 BROADWATER AVE STE 205
BILLINGS MT
59102-4764
US

V. Phone/Fax

Practice location:
  • Phone: 406-294-9606
  • Fax: 406-294-9607
Mailing address:
  • Phone: 406-294-9606
  • Fax: 406-294-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JODI KRISTJANSON
Title or Position: OWNER
Credential: LAC
Phone: 406-294-9606