Individual
MATTHEW LEAVENWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 N BROADWAY STE 423, BILLINGS, MT 59101-1943
(406) 896-8427
(406) 245-5980
Mailing address
208 N BROADWAY STE 423, BILLINGS, MT 59101-1943
(406) 896-8427
(406) 245-5980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-23436
MT
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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