Individual
MR. MATTHEW BRYAN LUVISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
602 S FERGUSON AVE STE 6, BOZEMAN, MT 59718-6483
(406) 404-6291
(406) 551-4624
Mailing address
PO BOX 6154, BOZEMAN, MT 59771-6154
(406) 404-6291
(406) 551-4624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50482
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50482
MONTANA BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
09/13/2021
Last updated
10/11/2021
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