MEDICARE: KRISTINA EMANUEL DOVRE MS, NCC, 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
1	101YM0800X	Mental Health Counselor	MHC.LH.61612267	WA
2	101YM0800X	Mental Health Counselor	60135	MT

General Provider Information

NPI Number	:	1215627633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA EMANUEL DOVRE MS, NCC, LCPC

Provider Business Mailing Address
First Line	:	PO BOX 187
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0187
Country	:	US
Telephone Number	:	406-671-4295
Fax Number	:

Provider Business Practice Location Address
First Line	:	1939 BEVERLY HILL BLVD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2311
Country	:	US
Telephone Number	:	406-671-4295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	01/21/2026

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