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NPI Code Detail

MEDICARE: STEPHANIE FITCH LCPC, LAC, PMH-C

MEDICARE: STEPHANIE FITCH LCPC, LAC, PMH-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorBBH-LAC-LIC-20000MT
2101YM0800XMental Health CounselorBBH-LCPC-LIC-86852MT

General Provider Information

NPI Number : 1275078891
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE FITCH LCPC, LAC, PMH-C
Provider Business Mailing Address
First Line : 2800 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0703
Country : US
Telephone Number : 406-435-8833
Fax Number :
Provider Business Practice Location Address
First Line : 2800 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0703
Country : US
Telephone Number : 406-435-8833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2017
Last Update Date : 02/06/2026

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