NPI 1548925654

Demetrius Alexander Fassas, CBHPSS

Practitioner Peer Specialist Butte, MT

Practice location

Address: 609 W Galena St, Butte, MT 59701-1507
Phone: (406) 640-8069
Fax: (406) 303-5264
Mailing address: 521 N Excelsior Ave, Butte, MT 59701-8715

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence BBH-BHPS-CRT-44134 (MT)

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Registry record

NPI: 1548925654
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2021
Record last updated: 3 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.