Healthcare Provider Details

I. General information

NPI: 1972635506
Provider Name (Legal Business Name): ELLA DUGAN LAEMMLE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 11/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S 24TH ST W SUITE 318
BILLINGS MT
59102-7420
US

IV. Provider business mailing address

PO BOX 67
HUNTLEY MT
59037-0067
US

V. Phone/Fax

Practice location:
  • Phone: 406-860-4265
  • Fax: 406-294-0967
Mailing address:
  • Phone: 406-860-4265
  • Fax: 406-294-0967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number349LCPC
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: