Provider Demographics
NPI:1447260799
Name:PFLUG, JEFF S (MA, LAC)
Entity type:Individual
Prefix:MR
First Name:JEFF
Middle Name:S
Last Name:PFLUG
Suffix:
Gender:M
Credentials:MA, 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 300
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59756-0300
Mailing Address - Country:US
Mailing Address - Phone:406-693-7060
Mailing Address - Fax:
Practice Address - Street 1:MONTANA STATE HOSPITAL
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59756-2119
Practice Address - Country:US
Practice Address - Phone:406-693-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1012101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)