Provider Demographics
NPI:1437314580
Name:MCCURDY, RAELYNNE A (LCPC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:RAELYNNE
Middle Name:A
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:LCPC, LAC
Other - Prefix:MS
Other - First Name:RAELYNNE
Other - Middle Name:
Other - Last Name:CALBICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LAC
Mailing Address - Street 1:1601 2ND AVE N
Mailing Address - Street 2:STE 650
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401
Mailing Address - Country:US
Mailing Address - Phone:406-799-5432
Mailing Address - Fax:406-452-9040
Practice Address - Street 1:1601 2ND AVE N
Practice Address - Street 2:STE 650
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401
Practice Address - Country:US
Practice Address - Phone:406-799-5432
Practice Address - Fax:406-452-9040
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1376-LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000744680OtherBLUE CROSS-SHIELD OF MONTANA PROVIDER #