Provider Demographics
NPI:1073003471
Name:LOHOF-CRAGO, CHRISTINE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LOHOF-CRAGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 WHITEBIRD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MT
Mailing Address - Zip Code:59019-7446
Mailing Address - Country:US
Mailing Address - Phone:406-321-2104
Mailing Address - Fax:
Practice Address - Street 1:106 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:ROBERTS
Practice Address - State:MT
Practice Address - Zip Code:59070
Practice Address - Country:US
Practice Address - Phone:406-445-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-303841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical