MEDICARE: MRS. FRANCESCA F AYTES LCSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	881	MT
2	1041C0700X	Clinical Social Worker	482	MT

General Provider Information

NPI Number	:	1376704924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCESCA F AYTES LCSW

Provider Business Mailing Address
First Line	:	900 N ORANGE ST STE 102
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-2951
Country	:	US
Telephone Number	:	406-327-3034
Fax Number	:	406-327-3385

Provider Business Practice Location Address
First Line	:	902 N ORANGE ST STE 102
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-2928
Country	:	US
Telephone Number	:	406-327-3034
Fax Number	:	406-327-3385

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

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	11/02/2018

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