Individual provider · Type 1 NPI
Matt Lasalle
Mental Health Counselor · Bozeman, MT
NPI number
1619821360
Active
Practice location
90 Naomi Rose Ln
Bozeman, MT 59718-4590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 87961 (MT) |
Mental Health Counselor: Definition to come...
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About NPI 1619821360
Matt Lasalle's National Provider Identifier is 1619821360, issued on Feb 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bozeman, MT. The record was last updated on Feb 20, 2026.