Individual
MICHAEL CHARLES CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LAC
Contact information
Practice address
1219 CENTRAL AVE, GREAT FALLS, MT 59401-3777
(406) 866-0350
(406) 403-0263
Mailing address
330 THIRD AVE, VICTOR, MT 59875-2357
(406) 241-9849
(406) 363-3061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-18797
MT
Other
Enumeration date
07/29/2016
Last updated
06/10/2025
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