Individual
ANGELIA RAE MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
119200 BATTLE RIDGE RD, BUTTE, MT 59750-9734
(406) 498-9640
Mailing address
664 S DAKOTA ST, BUTTE, MT 59701-2526
(406) 498-9640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-3378
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-46912
MT
101YP2500X
Professional Counselor
CC6870
ME
Other
Enumeration date
06/02/2016
Last updated
10/25/2022
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