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General NPI Number Information
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NPI Number | 1831686088
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Entity Type | Individual
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Provider Name | DARREN BAIRD ASHBY LAC, LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 202 BROOKS ST
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City | MISSOULA
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State | MT
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Zip | 59801-4019
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Country | US
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Telephone | 406-926-1453
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Fax | 406-926-1454
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Provider Business Mailing Address
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Address Line | 1700 COOLEY ST TRLR 82
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City | MISSOULA
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State | MT
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Zip | 59802-1973
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Country | US
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Telephone | 406-241-3044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | BBH-LAC-LIC-30184
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License Number State | MT
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