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NPI Code Detail

MEDICARE: FELICIA ANDERSON LCPC, LAC

MEDICARE: FELICIA ANDERSON LCPC, LAC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorBBH-LAC-LIC-42941MT
2101YM0800XMental Health CounselorBBH-LCPC-LIC-78945MT

General Provider Information

NPI Number : 1275199366
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA ANDERSON LCPC, LAC
Provider Business Mailing Address
First Line : 3333 2ND AVE N STE 160
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1724 LAMPMAN DR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6471
Country : US
Telephone Number : 406-545-4228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 06/05/2026

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