MEDICARE: DIANA E AUERHAMMER 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	973 LCPC	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932187739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA E AUERHAMMER LCPC

Provider Business Mailing Address
First Line	:	836 HOLT DR
Second Line	:	SUITE 321
City	:	BIGFORK
State	:	MT
Zip	:	59911-6271
Country	:	US
Telephone Number	:	406-837-1289
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 HOLT DR
Second Line	:	SUITE 321
City	:	BIGFORK
State	:	MT
Zip	:	59911-6271
Country	:	US
Telephone Number	:	406-837-1289
Fax Number	:

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/08/2007

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Directions to “ DIANA E AUERHAMMER LCPC” Practice Location

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