Provider Demographics
NPI:1184866873
Name:SAVAGE, ANDREA LYNELLE (LCPC, LMFT, CTF-CBT)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LYNELLE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCPC, LMFT, CTF-CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 53RD ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5821
Mailing Address - Country:US
Mailing Address - Phone:406-868-7688
Mailing Address - Fax:
Practice Address - Street 1:700 53RD ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5821
Practice Address - Country:US
Practice Address - Phone:406-868-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional