Individual
CHARLI ANNE MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-0234
(406) 234-0235
Mailing address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-0234
(406) 234-0235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37582
MT
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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