Provider Demographics
NPI:1376642009
Name:NORVELL, TAMSIN RAE (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:TAMSIN
Middle Name:RAE
Last Name:NORVELL
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 1ST AVE E
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4978
Mailing Address - Country:US
Mailing Address - Phone:406-756-8350
Mailing Address - Fax:406-756-1341
Practice Address - Street 1:307 1ST AVE E
Practice Address - Street 2:SUITE 2
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4978
Practice Address - Country:US
Practice Address - Phone:406-756-8350
Practice Address - Fax:406-756-1341
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1013 LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0254269Medicaid
MT745253OtherLCPC