Provider Demographics
NPI:1518092790
Name:LINSE-FROST, JANET (LCPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LINSE-FROST
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:PO BOX 23572
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-3572
Mailing Address - Country:US
Mailing Address - Phone:406-855-3765
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1650 AVENUE D
Practice Address - Street 2:SUITE 101
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3084
Practice Address - Country:US
Practice Address - Phone:406-855-3765
Practice Address - Fax:406-294-0967
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT672LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0257010Medicaid