Individual
MITCHELL MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1511 S RUSSELL ST, MISSOULA, MT 59801-3629
(406) 829-9515
Mailing address
2100 STEPHENS AVE, MISSOULA, MT 59801-6659
(406) 945-2193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-PCLC-LIC-57505I
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-57505
MT
Other
Enumeration date
12/07/2022
Last updated
12/08/2022
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