Angela Matta, Lcsw, Lac, Pc

NPI 1164849139 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1164849139
Enumeration Date 03/27/2014
Last Updated 03/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANGELA ANGELA
Position PRESIDENT
Phone (406) 969-5930
Fax
Practice Location
1925 GRAND AVE STE 123
BILLINGS MT, 59102-2763, US
Phone (406) 969-5930
Fax
Business Location
1925 GRAND AVE STE 123
BILLINGS MT, 59102-2763, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Montana
License Number 874
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According to our database, Angela Matta, Lcsw, Lac, Pc NPI is 1164849139, taxonomy code is 251S00000X and license number is 874, license state is located at Montana. Angela Matta, Lcsw, Lac, Pc physically located at 1925 Grand Ave Ste 123, Billings MT, 59102-2763. NPI Number 1033115704 has the healthcare provider type.

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1164849139 NPI number is provided on an as is basis without warranty of any kind. 1164849139 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Matta, Lcsw, Lac, Pc are for informational purposes only.