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Individual

REGINA PATE-TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW.LAC

Contact information

Practice address
3475 MONROE AVE, SUITE 103, BUTTE, MT 59701-3869
(406) 494-2130
Mailing address
3475 MONROE AVE, SUITE 103, BUTTE, MT 59701-3869
(406) 494-2130

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1059
MT
1041C0700X
Clinical Social Worker
Primary
896
MT

Other

Enumeration date
11/20/2007
Last updated
03/21/2012
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