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NPI Code Detail

MEDICARE: MRS. TAMMIE SUE SMITH LCPC

MEDICARE:  MRS. TAMMIE SUE SMITH  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
1101YP2500XProfessional CounselorBBH-LCPC-LIC-43683MT
2101YS0200XSchool Counselor83382MT
3101YM0800XMental Health CounselorBBH-LCPC-LIC-43683MT

General Provider Information

NPI Number : 1780257717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMIE SUE SMITH LCPC
Provider Business Mailing Address
First Line : PO BOX 907
Second Line :
City : FAIRFIELD
State : MT
Zip : 59436-0907
Country : US
Telephone Number : 406-799-2711
Fax Number :
Provider Business Practice Location Address
First Line : 201 1ST AVE N
Second Line :
City : FAIRFIELD
State : MT
Zip : 59436-9245
Country : US
Telephone Number : 406-467-3447
Fax Number : 406-467-3407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 09/29/2023

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Directions to “ MRS. TAMMIE SUE SMITH LCPC” Practice Location

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