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General NPI Number Information
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NPI Number | 1043728314
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Entity Type | Individual
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Provider Name | AYME LYNNE KROGSTAD LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 622 4TH AVE E
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City | SUPERIOR
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State | MT
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Zip | 59872-3005
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Country | US
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Telephone | 406-201-9773
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Fax | 406-201-9773
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Provider Business Mailing Address
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Address Line | PO BOX 915
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City | SUPERIOR
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State | MT
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Zip | 59872-0915
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Country | US
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Telephone | 406-788-3880
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Fax | 406-201-9773
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-21960
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License Number State | MT
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