Organization
ANGELA MATTA, LCSW, LAC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MATTA LCSW, LAC (PRESIDENT)
(406) 969-5930
Entity
Organization
Contact information
Practice address
1925 GRAND AVE STE 123, BILLINGS, MT 59102-2763
(406) 969-5930
Mailing address
1925 GRAND AVE STE 123, BILLINGS, MT 59102-2763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
874
MT
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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