Individual
ROBERTA SUE CLADOUHOS-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4119 7TH AVE N, CENTER FOR MENTAL HEALTH/MORNINGSIDE ELEMENTARY, GREAT FALLS, MT 59405-1119
(406) 750-4139
Mailing address
PO BOX 3089, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59403-3089
(406) 761-2100
(406) 761-2107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
983 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000744903
BLUE CROSS-SHIELD OF MONTANA - CENTER FOR MENTAL HEALTH
MT
05
—
0257387
—
MT
01
—
743370
BLUE CROSS BLUE SHIELD
MT
Enumeration date
02/20/2006
Last updated
09/01/2009
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