Individual
ANGELA WIDDICOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
415 N HIGGINS AVE, ROOM 110, HIGGINS PLAZA, MISSOULA, MT 59802-4522
(406) 360-0715
Mailing address
1008 BURLINGTON AVE, SUITE C, MISSOULA, MT 59801-5681
(888) 850-4574
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1162-LAC
MT
101YM0800X
Mental Health Counselor
Primary
603
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162-LAC
LIC. ADDICTION COUNSELOR
MT
01
—
603
CLINICAL SOCIAL WORKER
MT
Enumeration date
11/27/2006
Last updated
09/11/2025
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