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General NPI Number Information
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NPI Number | 1134082282
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Entity Type | Organization
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Legal Business Name | PENNY LYNN WERTENBERGER
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7 W 6TH AVE STE 514
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City | HELENA
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State | MT
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Zip | 59601-5036
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Country | US
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Telephone | 406-502-8916
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Fax | 406-447-4255
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Provider Business Mailing Address
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Address Line | 7 W 6TH AVE STE 514
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City | HELENA
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State | MT
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Zip | 59601-5036
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Country | US
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Telephone | 406-502-8916
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Fax | 406-447-4255
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Authorized Official
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Title or Position | OWNER
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Name | PENNY LYNN WERTENBERGER
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Credential | LAC
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Telephone | 406-502-8916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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