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General NPI Number Information
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NPI Number | 1285404202
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Entity Type | Individual
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Provider Name | MADISON TREYLIN KOTERBA LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 4430 ALTAY DR UNIT 313
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City | BILLINGS
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State | MT
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Zip | 59106-2885
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Country | US
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Telephone | 406-366-9883
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80062
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City | BILLINGS
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State | MT
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Zip | 59108-0062
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Country | US
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Telephone | 406-366-9883
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Fax |
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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 | 64788
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License Number State | MT
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