MEDICARE: KATELYN MOORE ARMSTRONG MA, 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	18669	MT

General Provider Information

NPI Number	:	1497209514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MOORE ARMSTRONG MA, LCPC

Provider Business Mailing Address
First Line	:	725 SW HIGGINS AVE STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1420
Country	:	US
Telephone Number	:	406-396-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 SW HIGGINS AVE STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1420
Country	:	US
Telephone Number	:	406-396-5383
Fax Number	:

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

Provider Enumeration Date	:	08/05/2016
Last Update Date	:	01/16/2019

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