Provider Demographics
NPI:1922018142
Name:SELTZER, JOAN NANETTE (NCAC 1, LAC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:NANETTE
Last Name:SELTZER
Suffix:
Gender:F
Credentials:NCAC 1, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 TAWNEY VW
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-9511
Mailing Address - Country:US
Mailing Address - Phone:406-360-1854
Mailing Address - Fax:
Practice Address - Street 1:114 TAWNEY VW
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-9511
Practice Address - Country:US
Practice Address - Phone:406-360-1854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT813101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)