Individual
KAELA IMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
944 AVENUE B, BILLINGS, MT 59102-3346
(406) 272-2532
Mailing address
PO BOX 2214, BILLINGS, MT 59103-2214
(406) 272-2532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42706
ST LICENSE
MT
Enumeration date
12/15/2020
Last updated
12/15/2020
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