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NPI Code Detail

MEDICARE: MRS. NANCY K REPPE LCPC

MEDICARE: MRS. NANCY K REPPE LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor435MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063544054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY K REPPE LCPC
Provider Business Mailing Address
First Line : PO BOX 7297
Second Line :
City : GREAT FALLS
State : MT
Zip : 59406-7297
Country : US
Telephone Number : 406-452-1190
Fax Number :
Provider Business Practice Location Address
First Line : 1321 8TH AVE N
Second Line : SUITE 203
City : GREAT FALLS
State : MT
Zip : 59401-1646
Country : US
Telephone Number : 406-452-1190
Fax Number : 406-452-1190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/09/2007

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