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General NPI Number Information
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NPI Number | 1902762164
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Entity Type | Individual
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Provider Name | MATTHEW SCHRAMM LCPC
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Gender | Male
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 127 N HIGGINS AVE STE 301C
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City | MISSOULA
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State | MT
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Zip | 59802-4457
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Country | US
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Telephone | 719-237-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 241 S 5TH ST E APT 3
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City | MISSOULA
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State | MT
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Zip | 59801-2700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-PCLC-LIC-64499
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License Number State | MT
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