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NPI Code Detail

MEDICARE: JOSEPH D WALSH LCPC

MEDICARE: JOSEPH D WALSH 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 Counselor1258 LCPCMT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1743600OTHERMTBCBS

General Provider Information

NPI Number : 1851564140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH D WALSH LCPC
Provider Business Mailing Address
First Line : 3021 6TH AVE N
Second Line : SUITE 110
City : BILLINGS
State : MT
Zip : 59101-1145
Country : US
Telephone Number : 406-490-6385
Fax Number : 406-294-0967
Provider Business Practice Location Address
First Line : 3021 6TH AVE N
Second Line : SUITE 110
City : BILLINGS
State : MT
Zip : 59101-1145
Country : US
Telephone Number : 406-490-6385
Fax Number : 406-294-0967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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Directions to “ JOSEPH D WALSH LCPC” Practice Location

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