| Lynn Marie Grosulak Lcpc | |
|
710 Grand Ave Suite 6 Billings MT 59101-5852 | |
| (406) 855-9446 | |
| (406) 294-0967 |
| Full Name | Lynn Marie Grosulak Lcpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 710 Grand Ave, Billings, Montana |
| Authorized Official Name and Position | Lynn Marie Grosulak (OWNER) |
| Authorized Official Contact | 4068559446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Marie Grosulak Lcpc Po Box 20794 Billings MT 59104-0794 Ph: (406) 855-9446 | Lynn Marie Grosulak Lcpc 710 Grand Ave Suite 6 Billings MT 59101-5852 Ph: (406) 855-9446 |
| NPI Number | 1659545168 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 11/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659545168 | NPI | - | NPPES |
| 0256173 | Medicaid | MT | |
| 000741370 | Other | MT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1114 LCPC (Montana) | Primary |
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