Provider Demographics
NPI:1043080427
Name:FLYNN, ALLISON FAE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:FAE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 JEROME PL
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5549
Mailing Address - Country:US
Mailing Address - Phone:406-459-6238
Mailing Address - Fax:
Practice Address - Street 1:2022 JEROME PL
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5549
Practice Address - Country:US
Practice Address - Phone:406-459-6238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health