Healthcare Provider Details

I. General information

NPI: 1467512392
Provider Name (Legal Business Name): LORENA CRAIG LCPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 7TH ST 2ND FLOOR SUITE I
ANACONDA MT
59711-2900
US

IV. Provider business mailing address

118 E 7TH ST 2ND FLOOR SUITE I
ANACONDA MT
59711-2900
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-7072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number944
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1157
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1157
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: