Provider Demographics
NPI:1497827521
Name:RUST, AIMEE MARIE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:MARIE
Last Name:RUST
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N 15TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2512
Mailing Address - Country:US
Mailing Address - Phone:406-697-0369
Mailing Address - Fax:406-534-4128
Practice Address - Street 1:51 N 15TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2512
Practice Address - Country:US
Practice Address - Phone:406-697-0369
Practice Address - Fax:406-534-4128
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0255952Medicaid