Individual
MS. ANGELA ROSE MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
208 N BROADWAY STE 423, BILLINGS, MT 59101-1943
(406) 896-8427
Mailing address
3516 54TH ST W, BILLINGS, MT 59106-1044
(406) 208-8959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1202
MT
1041C0700X
Clinical Social Worker
Primary
874
MT
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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