MRS. Cheryl A. Basta, LCPC 57404; LAC 1290

NPI #1447499918 in Great Falls, Montana

Provider Information

NPI Number
1447499918
Entity Type
Individual
Name
MRS. Cheryl A. Basta, LCPC 57404; LAC 1290
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LCPC 57404; LAC 1290
Enumeration Date
Feb 6, 2009
Last Updated
Jan 17, 2023

Practice Location

Address
1301 12TH AVE S STE 103
State
Montana
ZIP Code
59405-4600
Phone
(406) 836-2714

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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