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NPI Code Detail

MEDICARE: CRAIG ERWIN STRUBLE LCSW

MEDICARE: CRAIG ERWIN STRUBLE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1074MT
21041C0700XClinical Social WorkerBBH-LCSW-LIC-25391MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
176094-0OTHERMTLICENSED ADDICTIONS COUNS

General Provider Information

NPI Number : 1396809083
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG ERWIN STRUBLE LCSW
Provider Business Mailing Address
First Line : 232 QUARTER CIRCLE RD
Second Line :
City : EAST HELENA
State : MT
Zip : 59635-9613
Country : US
Telephone Number : 406-431-3243
Fax Number :
Provider Business Practice Location Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-431-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 07/21/2022

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Directions to “ CRAIG ERWIN STRUBLE LCSW” Practice Location

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