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Individual

MARY PENBERTHY-MACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1597 AVENUE D, SUITE 1, BILLINGS, MT 59102-3010
(406) 238-9890
(406) 294-0967
Mailing address
1597 AVENUE D, SUITE 1, BILLINGS, MT 59102-3010
(406) 238-9890
(406) 294-0967

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
701LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000075016
BCBS
MT
05
0255119
MT
Enumeration date
08/12/2006
Last updated
11/13/2009
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