Individual
KATHLEEN C MATTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2475 VILLAGE LN, SUITE 102, BILLINGS, MT 59102-2497
(406) 259-7288
(406) 294-0967
Mailing address
PO BOX 21096, BILLINGS, MT 59104-1096
(406) 259-7288
(406) 294-0967
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
519 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70096
BCBS
MT
Enumeration date
05/23/2007
Last updated
04/22/2015
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