Provider Demographics
NPI:1073841631
Name:TINER, RONALD ERIC (MS, LCPC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ERIC
Last Name:TINER
Suffix:
Gender:M
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:R.
Other - Middle Name:ERIC
Other - Last Name:TINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LCPC
Mailing Address - Street 1:3286 GRANGER AVE E
Mailing Address - Street 2:APARTMENT # 6
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6057
Mailing Address - Country:US
Mailing Address - Phone:406-652-2796
Mailing Address - Fax:
Practice Address - Street 1:3286 GRANGER AVE E
Practice Address - Street 2:APARTMENT # 6
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6057
Practice Address - Country:US
Practice Address - Phone:406-652-2796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1459-LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional