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Individual

CONNIE DILTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LMFT

Contact information

Practice address
902 WYOMING AVE, BILLINGS, MT 59101-1637
(406) 254-8604
(406) 294-0967
Mailing address
902 WYOMING AVE, BILLINGS, MT 59101-1637
(406) 254-8604
(406) 294-0967

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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