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General NPI Number Information
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NPI Number | 1649720319
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Entity Type | Individual
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Provider Name | ANDREA J FORAN LMFT, LCPC, LAC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 700 SOUTH AVE W STE B
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City | MISSOULA
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State | MT
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Zip | 59801-8011
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Country | US
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Telephone | 406-540-2846
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Fax |
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Provider Business Mailing Address
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Address Line | 700 SOUTH AVE W STE B
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City | MISSOULA
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State | MT
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Zip | 59801-8011
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Country | US
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Telephone | 406-540-4347
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Fax | 406-258-0614
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60088110
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-LAC-LIC-14337
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-PCLC--LIC-33007
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-42830
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | BBH-LMFT-LIC-43165
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License Number State | MT
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