Matthew Delong, PLPC
Individual provider Active NPI Mental Health Counselor · Ronan, MT
NPI 1720860422 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1720860422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- BBH-PCLC-LIC-64673 (MT)
- Practice address
- 11 Main St SE
Ronan, MT 59864-2731 - Phone
- (406) 782-0630
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-PCLC-LIC-64673 | MT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-PCLC-LIC-64673 | MT | Yes |
Addresses
Primary practice location
11 Main St SE
Ronan, MT 59864-2731
Mailing address
11 Main St SE
Ronan, MT 59864-2731
Phone (406) 872-0630
Other providers in Ronan, MT
- Renae Cornelius
- William C Cullis
- Stephen F. Culp
- Ronald D Dean
- Charlotte D Delaney
- Krystal A Diel
- Michael Dolecki
- Jamie Duff
- Embodiment Therapy LLC
- Rosemary Epperson
All providers in Ronan, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.