MEDICARE: MS. LISA ANN MCNAMEE LCPC

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
1	101YP2500X	Professional Counselor	1470	MT

General Provider Information

NPI Number	:	1295066058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA ANN MCNAMEE LCPC

Provider Business Mailing Address
First Line	:	119 1/2 W PARK ST STE 5
Second Line	:
City	:	LIVINGSTON
State	:	MT
Zip	:	59047-2661
Country	:	US
Telephone Number	:	406-224-2949
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 1/2 W PARK ST STE 5
Second Line	:
City	:	LIVINGSTON
State	:	MT
Zip	:	59047-2661
Country	:	US
Telephone Number	:	406-224-2949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

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