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Provider Information for 1811173818


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CATHERINE J GOSS MS LAC LCPC


Other Names:  
Former Name: 
CATHERINE J GRAMS

Sex: Female

NPI: 1811173818
Last Updated: 2024-03-08
Certification Date: 2024-03-08

Details

NameValue
NPI1811173818
Enumeration Date2008-01-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1629 AVENUE D STE C5
BILLINGS, MT 59102-3042
United States

Phone: 406-860-7224 | Fax:
 
Primary Practice Address 1629 AVENUE D STE C5
BILLINGS, MT 59102-3042
United States

Phone: 068-607-2244 | Fax:406-254-1650
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMT0320501
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)MT
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)MT1224
Yes 101YM0800X - Counselor - Mental HealthMT17378