MEDICARE: DR. ANNE GENEREUX 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
2	101YM0800X	Mental Health Counselor	36833	MT

General Provider Information

NPI Number	:	1336798214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE GENEREUX LCPC

Provider Business Mailing Address
First Line	:	719 BEVERLY HILL BLVD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2545
Country	:	US
Telephone Number	:	608-354-2443
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 N 29TH ST
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1113
Country	:	US
Telephone Number	:	406-647-0644
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	04/02/2024

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