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NPI Code Detail

MEDICARE: ALICEANN CARLTON LCPC

MEDICARE:   ALICEANN  CARLTON  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
1101YM0800XMental Health Counselor986MT

General Provider Information

NPI Number : 1932234663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICEANN CARLTON LCPC
Provider Business Mailing Address
First Line : 2508 WILSON ST
Second Line :
City : MILES CITY
State : MT
Zip : 59301-5000
Country : US
Telephone Number : 406-234-1687
Fax Number : 406-234-1689
Provider Business Practice Location Address
First Line : 2508 WILSON ST
Second Line :
City : MILES CITY
State : MT
Zip : 59301-5000
Country : US
Telephone Number : 406-234-1687
Fax Number : 406-234-1689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ ALICEANN CARLTON LCPC” Practice Location

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