Provider Demographics
NPI:1265757538
Name:NEAL, ALLISON MAE (ADDICTION COUNSELOR)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:MAE
Last Name:NEAL
Suffix:
Gender:F
Credentials:ADDICTION COUNSELOR
Other - Prefix:
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Mailing Address - Street 1:119 S KENDRICK AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-1626
Mailing Address - Country:US
Mailing Address - Phone:406-377-5942
Mailing Address - Fax:406-377-3050
Practice Address - Street 1:119 S KENDRICK AVE
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1626
Practice Address - Country:US
Practice Address - Phone:406-377-5942
Practice Address - Fax:406-377-3050
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1345101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)