Provider Demographics
NPI:1386997914
Name:RIGG, SHARON B (LAC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:B
Last Name:RIGG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3976
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-3976
Mailing Address - Country:US
Mailing Address - Phone:406-926-1453
Mailing Address - Fax:406-926-1454
Practice Address - Street 1:1610 S 3RD ST W
Practice Address - Street 2:SUITE 201 OFFICE 115
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-9012
Practice Address - Country:US
Practice Address - Phone:406-926-1453
Practice Address - Fax:406-926-1454
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT959101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)