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Angela Matta, Lcsw, Lac, PC

Community/Behavioral Health in Billings, MT. Organization (NPI-2).

NPI number1164849139
StatusActive
Last updated in NPPESMar 27, 2014

Details

NPI
1164849139
Entity type
Organization (NPI-2)
Legal business name
Angela Matta, Lcsw, Lac, PC
Organization subpart
No
Enumeration date
Mar 27, 2014
Last updated
Mar 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health874MTYes

Practice location

1925 Grand Ave Ste 123
Billings, MT 59102-2763

Phone 406-969-5930

Mailing address

1925 Grand Ave Ste 123
Billings, MT 59102-2763

Authorized official

Angela Matta
President
4069695930

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