Provider Demographics
NPI:1184373326
Name:DELAITTRE MCCARTY, REBECCA (LCPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:DELAITTRE MCCARTY
Suffix:
Gender:F
Credentials:LCPC
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 7392
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-7392
Mailing Address - Country:US
Mailing Address - Phone:406-451-1144
Mailing Address - Fax:
Practice Address - Street 1:2246 BOOT HILL CT # 4
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-7248
Practice Address - Country:US
Practice Address - Phone:406-285-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTBBH-LCPC-LIC-63758OtherMT BOARD OF BEHAVIORAL HEALTH