Provider Demographics
NPI:1346746880
Name:RUNNING CRANE, LIDA A (NCC LCPC LAC)
Entity Type:Individual
Prefix:
First Name:LIDA
Middle Name:A
Last Name:RUNNING CRANE
Suffix:
Gender:F
Credentials:NCC LCPC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W HARRIER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1053
Mailing Address - Country:US
Mailing Address - Phone:406-201-7190
Mailing Address - Fax:
Practice Address - Street 1:5767 W HARRIER DR STE 201
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1053
Practice Address - Country:US
Practice Address - Phone:406-201-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
BBH-LCPC-LIC-30028101YP2500X
MT30028101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional