Provider Demographics
NPI:1164652608
Name:MCGRATH, DEBRA K (MSC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-0658
Mailing Address - Country:US
Mailing Address - Phone:406-223-8205
Mailing Address - Fax:
Practice Address - Street 1:215 E LEWIS ST
Practice Address - Street 2:SUITE 104
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3100
Practice Address - Country:US
Practice Address - Phone:406-223-8205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional