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Provider Information for 1184373326


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REBECCA DELAITTRE MCCARTY LCPC


Sex: Female

NPI: 1184373326
Last Updated: 2023-11-28
Certification Date: 2023-11-28

Details

NameValue
NPI1184373326
Enumeration Date2022-03-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 7392
HELENA, MT 59604-7392
United States

Phone: 406-451-1144 | Fax:
 
Primary Practice Address 2246 BOOT HILL CT # 4
BOZEMAN, MT 59715-7248
United States

Phone: 406-285-1730 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MTBBH-LCPC-LIC-63758MT Board of Behavioral Health
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor