Healthcare Provider Details

I. General information

NPI: 1144342809
Provider Name (Legal Business Name): BUTTE SCHOOL DISTRICT #1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 S MONTANA ST
BUTTE MT
59701-2840
US

IV. Provider business mailing address

1050 S MONTANA ST
BUTTE MT
59701-2840
US

V. Phone/Fax

Practice location:
  • Phone: 406-533-2969
  • Fax: 406-533-2980
Mailing address:
  • Phone: 406-533-2969
  • Fax: 406-533-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMT

VIII. Authorized Official

Name: MR. DONALD BERRYMAN
Title or Position: DIRECTOR SPECIAL EDUCATION
Credential:
Phone: 406-533-2501