Individual
MARYELLEN BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 BITTERROOT DR, BILLINGS, MT 59105-1821
(406) 869-6374
Mailing address
1415 BITTERROOT DR, BILLINGS, MT 59105-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-5040
MT
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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