Individual
MS. MICHELLE PITTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1643 LEWIS AVE, SUITE #4, BILLINGS, MT 59102-4151
(406) 255-0209
(406) 294-0967
Mailing address
PO BOX 20897, BILLINGS, MT 59104-0897
(406) 255-0209
(406) 294-0967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
797LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000075458
BCBS
MT
05
—
0252773
—
MT
Enumeration date
08/10/2006
Last updated
11/13/2009
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