MEDICARE: MEGAN ELIZABETH ROSENBERG 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	101YP2500X	Professional Counselor	BBH-LCPC-LIC-70934	MT

General Provider Information

NPI Number	:	1417797580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH ROSENBERG LCPC

Provider Business Mailing Address
First Line	:	PO BOX 9352
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59807-9352
Country	:	US
Telephone Number	:	406-369-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S MAIN ST STE 49
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-1498
Country	:	US
Telephone Number	:	406-369-7700
Fax Number	:

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

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	05/07/2026

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