MEDICARE: ALEXA HUESER MS, LCPC, PMH-C

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	30455	MT

General Provider Information

NPI Number	:	1952846552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA HUESER MS, LCPC, PMH-C

Provider Business Mailing Address
First Line	:	1174 STONERIDGE DR STE 100
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-9850
Country	:	US
Telephone Number	:	406-581-3525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1174 STONERIDGE DR STE 100
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-9850
Country	:	US
Telephone Number	:	406-209-8327
Fax Number	:

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

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	05/09/2026

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