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NPI Code Detail

MEDICARE: MS. JULIE ANNE ANDERSON LAC

MEDICARE:  MS. JULIE ANNE ANDERSON  LAC
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-49536MT
21041C0700XClinical Social WorkerBBH-LCSW-LIC-83089MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BBH-LAC-LIC-49536OTHERMTMONTANA BOARD OF BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1972229706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE ANNE ANDERSON LAC
Provider Business Mailing Address
First Line : 117 S 10TH ST
Second Line :
City : LIVINGSTON
State : MT
Zip : 59047-2519
Country : US
Telephone Number : 406-671-8900
Fax Number :
Provider Business Practice Location Address
First Line : 202 S 2ND ST
Second Line :
City : LIVINGSTON
State : MT
Zip : 59047-3002
Country : US
Telephone Number : 533-540-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 02/18/2026

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Directions to “ MS. JULIE ANNE ANDERSON LAC” Practice Location

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