Organization
BELGRADE COUNSELING CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WATTS M.ED., LCPC (PRESIDENT)
(406) 388-7174
Entity
Organization
Contact information
Practice address
129 VILLAGE DR STE 303, BELGRADE, MT 59714-9618
(406) 388-7174
(406) 388-4958
Mailing address
PO BOX 1377, BELGRADE, MT 59714-1377
(406) 388-7174
(406) 388-4958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
597 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254796
—
MT
01
—
07539-5
BLUE CROSS BLUE SHIELD #
MT
Enumeration date
11/14/2006
Last updated
06/16/2008
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