Provider Demographics
NPI:1598997561
Name:ALBEE, PEGGY ANNE (LCPC, LAC, CRC)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:ANNE
Last Name:ALBEE
Suffix:
Gender:F
Credentials:LCPC, LAC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W MAIN ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-5703
Mailing Address - Country:US
Mailing Address - Phone:406-366-4134
Mailing Address - Fax:406-538-4852
Practice Address - Street 1:505 W MAIN ST
Practice Address - Street 2:SUITE 316
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-5703
Practice Address - Country:US
Practice Address - Phone:406-366-4134
Practice Address - Fax:406-538-4852
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1310101YA0400X
MT1473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)