Individual
MATTHEW DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
11 MAIN ST SE, RONAN, MT 59864-2731
(406) 782-0630
Mailing address
11 MAIN ST SE, RONAN, MT 59864-2731
(406) 872-0630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-64673
MT
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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