Healthcare Provider Details
I. General information
NPI: 1619380763
Provider Name (Legal Business Name): APRIL JO STUART LCPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/06/2014
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
124 S MAIN ST STE 211
LIVINGSTON MT
59047-2664
US
IV. Provider business mailing address
5902 N WASHINGTON ST
SPOKANE WA
99205-6329
US
V. Phone/Fax
- Phone: 406-498-8891
- Fax:
- Phone: 406-498-8891
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | LAC-LAC-LIC-3636 |
| License Number State | MT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LH61658277 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | BBH-LCPC-LIC-25799 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: