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General NPI Number Information
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NPI Number | 1699368456
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Entity Type | Individual
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Provider Name | MELISSA ALVAREZ THORSON MS
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 711 CENTRAL AVE STE 125
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City | BILLINGS
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State | MT
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Zip | 59102-5892
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Country | US
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Telephone | 406-272-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2931 KINCAID RD
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City | BILLINGS
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State | MT
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Zip | 59101-9498
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Country | US
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Telephone | 406-699-0666
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-LAC-LIC-49962
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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 | BBH-LCPC-LIC-57127
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License Number State | MT
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Taxonomy #3
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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-57127
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License Number State | MT
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