Organization
CHERYL A. BASTA
Active
Other names
River City Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN BASTA LAC (LICENSED ADDICTION COUNSELOR)
(406) 836-2714
Entity
Organization
Contact information
Practice address
1601 2ND AVE N, SUITE 200 D, GREAT FALLS, MT 59401-3259
(406) 836-2714
Mailing address
1601 2ND AVE N, SUITE 200 D, GREAT FALLS, MT 59401-3259
(406) 836-2714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1290
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290
STATE LICENSE
MT
Enumeration date
10/21/2015
Last updated
10/21/2015
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