Individual
MRS. ANGELA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, LCPC
Contact information
Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9704
(406) 496-6314
(406) 494-1724
Mailing address
319 WASHINGTON BLVD, GREAT FALLS, MT 59404-6212
(406) 217-3551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19349
MT
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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