Basic Information
| Provider Information | |||||||||
| NPI: | 1720428972 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOTTLER | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | HERMAN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1231 N 29TH ST | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062483175 | ||||||||
| FaxNumber: | 4062483821 | ||||||||
| Practice Location | |||||||||
| Address1: | 1231 N 29TH ST | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062483175 | ||||||||
| FaxNumber: | 4062483821 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2013 | ||||||||
| LastUpdateDate: | 01/03/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | LAC-LAC-LIC-2580 | MT | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | BBH-LCPC-LIC-12387 | MT | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.