Diller, Autumn Marie

Diller, Autumn Marie is an sole proprietor health care provider with primary practice located at 1 Woodcocks Way , St. Ignatius MT 59865. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Diller, Autumn Marie can be contacted via phone (406) 745-3525.

Contact Information

Primary practice address
1 Woodcocks Way St. Ignatius MT 59865
Phone: (406) 745-3525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-LAC-LIC-32707 Montana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 32707 Montana
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-41996 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW41996 Idaho

Profile Details

NPI number 1134695091
LBN Legal business name Diller, Autumn Marie
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2018
Last updated Apr 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers