Healthcare Provider Details

I. General information

NPI: 1811345150
Provider Name (Legal Business Name): YUKI JOY BRIEN MS, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 10/25/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 GRAND AVENUE, STE 116
BILLINGS MT
59102-2762
US

IV. Provider business mailing address

1925 GRAND AVENUE, STE 116
BILLINGS MT
59102-2762
US

V. Phone/Fax

Practice location:
  • Phone: 406-855-3909
  • Fax: 406-201-8143
Mailing address:
  • Phone: 406-855-3909
  • Fax: 406-201-8143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-4728
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: