Provider Demographics
NPI:1225413545
Name:ZOREN, KEVIN G (LCPC, LMFT)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:G
Last Name:ZOREN
Suffix:
Gender:M
Credentials:LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 US HIGHWAY 2 NW STE 21
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-3464
Mailing Address - Country:US
Mailing Address - Phone:406-530-9818
Mailing Address - Fax:406-530-1234
Practice Address - Street 1:1753 US HIGHWAY 2 NW STE 21
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3464
Practice Address - Country:US
Practice Address - Phone:406-530-9818
Practice Address - Fax:406-530-1234
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSWP-LCPC-LIC-12308101YM0800X, 101YP2500X
MTBBH-LMFT-LIC-37538106H00000X
MTBBH-LCPC-LIC-12308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist