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Individual
CONNIE DILTS
Active
Individual
CONNIE DILTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
489LCPC
MT
106H00000X
Marriage & Family Therapist
126
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000074965
BCBS
MT
05
—
0254046
—
MT
Enumeration date
08/12/2006
Last updated
12/12/2011
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