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General NPI Number Information
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NPI Number | 1306226428
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Entity Type | Individual
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Provider Name | BRYAN LAMB LCPC (MT) & LPC (CO)
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 211 N GRAND AVE STE 4D
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City | BOZEMAN
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State | MT
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Zip | 59715-3582
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Country | US
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Telephone | 406-219-1203
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11061
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City | BOZEMAN
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State | MT
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Zip | 59719-1061
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-58851
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0014931
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License Number State | CO
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