Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-27893 | MT |
NPI | 1003246158 |
---|---|
Provider Name | Sara Ellen Hughes-Zabawa |
First Address | Billings, MT 59106-1127 |
Second Address | Billings, MT 59106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2013 |
Last Update Date | 05/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BBH-LCSW-LIC-27893 | STATE OF MONTANA BUSINESS STANDARDS DIVISION BOARD OF BEHAVIORAL HEALTH (01) | MT |