Individual
AMANDA KILTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCPC, NCC
Contact information
Practice address
4 RABEL LN, GALLATIN GATEWAY, MT 59730-7000
(307) 399-6276
Mailing address
PO BOX 663, GALLATIN GATEWAY, MT 59730-0663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
598
WY
101YP2500X
Professional Counselor
1372
WY
101YP2500X
Professional Counselor
21831
MT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598
STATE LICENSE
WY
Enumeration date
09/01/2011
Last updated
11/01/2023
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