Montana Professional Assistance Program (MPAP) has the stated purpose of addressing the problems of the distressed physician or dentist whose ability to practice is diminished due to chemical dependency or substance abuse, psychiatric illness, disruptive behavior, sexual misconduct or problems associated with the process of aging. MPAP is a nonprofit corporation located in Billings, Montana and is under separate contracts to the Board of Medical Examiners and the Board of Dentistry. Funding comes from a special assessment on medical and dental license fees.


Michael E. Metzger MD Medical Director

Michael E. Metzger MD is a native of Laurel, Montana. He graduated from the University of Montana and received his M.D. from the University of Washington School of Medicine. Following completion of an Internal Medicine Residency in Phoenix, Arizona, Dr. Metzger practiced Internal Medicine in Billings, Montana for over 20 years. Dr. Metzger subsequently practiced at Rimrock Foundation for a number of years and during that time he received certification in the field of Addiction Medicine through the American Board of Addiction Medicine. Dr. Metzger currently serves as Medical Director for the Montana Professional Assistance Program through a volunteer position.

Michael J. Ramirez, M.S. Clinical Director

Since 1995, Mike has played a vital role in helping to pave the way for MPAP’s continued success. He holds a Master of Science in Rehabilitation Counseling. He is a member of the Federation of State Physician Health Programs and serves as a Board Member and Western Regional Representative and is a member of the ACE, Public Policy and Ethics Committees.

Cecilia Zinnikas, MHR Clinical Coordinator

Cecilia relocated from Oklahoma Health Professionals Program and have been in the field of mental health since 1990: an OU- Master’s Degree in Human Relations, Oklahoma Licensed Professional Counselor (LPC). Her career has involved Physician Assistance Program management, psychiatric & substance abuse assessment, mental health therapy, recovery coaching, Inpatient hospital treatment facility management and clinical supervision of psychiatric and substance abuse counselors.

Meghan McGauley, RN, BSN Clinical Coordinator

Meghan McGauley, originally from Chattanooga, TN, moved to Bozeman, MT in pursuit of her dreams as a Nurse. She graduated from Montana State University of Bozeman with as Bachelors of Science in Nursing in May of 2015. As of May 2017, she has served as the Clinical Coordinator for Montana Professional Assistance Program, Inc. Ms. McGauley applies her insight and orientation as a RN in serving the needs of the nursing community of Montana. She is an associate member of the Federation of State Physician Health Programs as well as a voting member of the National Organization of Alternative Programs.

Amber Roane Administrative Assistant

She has been with MPAP since June 2019 and is very excited to be part of program. Amber was born and raised in Washington State, moved to Kalispell in 2005 and settled in Billings in 2016 after graduating from Montana State University. She brings many years of business organization and operations experience to her current role. She is responsible for the day-to-day office administration, vendor management, and organization systems development.. Also known as the “go to” person for billing and schedules. When not in the office, Amber spends most of her time with her family, Josh and three children, Matilda, Jaxon, and JR. Amber enjoys gardening, fishing, and camping with her family.