Organization
MPM SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MACKI LCPC (OWNER)
(406) 238-9890
Entity
Organization
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
701 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000075016
BCBS
MT
05
—
0255119
—
MT
Enumeration date
04/23/2008
Last updated
11/13/2009
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