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NPI Code Detail

MEDICARE: EVAN SCOTT GIMPEL LCPC

MEDICARE: EVAN SCOTT GIMPEL 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
1101YM0800XMental Health Counselor23435MT

General Provider Information

NPI Number : 1457120156
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN SCOTT GIMPEL LCPC
Provider Business Mailing Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 336-202-0458
Fax Number :
Provider Business Practice Location Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 336-202-0458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 02/03/2026

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Directions to “ EVAN SCOTT GIMPEL LCPC” Practice Location

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