Individual
MICHAEL DON MAHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
925 OILFIELD AVE STE 2, CENTER FOR MENTAL HEALTH, SHELBY, MT 59474-2704
(406) 434-5285
(406) 791-9629
Mailing address
PO BOX 3089, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59403-3089
(406) 434-5285
(406) 791-9629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8986
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0MT0701863
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
11/18/2014
Last updated
04/14/2015
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