Individual
MS. ANGELA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LAC
Contact information
Practice address
115 4TH ST S, GREAT FALLS, MT 59401-3618
(406) 268-9724
Mailing address
115 4TH ST S, GREAT FALLS, MT 59401-3618
(406) 268-9724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-16772
MT
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-17551
MT
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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