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Individual

CHRIS ANN MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAC, LCPC

Contact information

Practice address
612 E PIKE AVE, COLUMBUS, MT 59019
(406) 780-0528
Mailing address
PO BOX 134, ABSAROKEE, MT 59001-0134
(406) 780-0528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-4177
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-29952
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669879102
MT
Enumeration date
11/27/2014
Last updated
09/28/2022
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