MEDICARE: MS. JULIE ANN CHRISTENSEN MS, 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	BBH-LCPC-LIC-42612	MT

General Provider Information

NPI Number	:	1285262543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE ANN CHRISTENSEN MS, LCPC

Provider Business Mailing Address
First Line	:	643 BURLINGTON AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-5831
Country	:	US
Telephone Number	:	406-208-5968
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 N 19TH ST
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1426
Country	:	US
Telephone Number	:	406-245-7233
Fax Number	:

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

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	03/31/2020

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