MEDICARE: SHAUNA VERLANIC 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	101Y00000X	Counselor	BBH-LCPC-LIC-72523	MT

General Provider Information

NPI Number	:	1902617392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUNA VERLANIC LCPC

Provider Business Mailing Address
First Line	:	PO BOX 907
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59624-0907
Country	:	US
Telephone Number	:	406-442-4130
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 N EWING ST STE 107
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4002
Country	:	US
Telephone Number	:	406-442-4130
Fax Number	:

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

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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Directions to “ SHAUNA VERLANIC LCPC” Practice Location

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