Provider Demographics
NPI:1669030854
Name:SETTERSTROM, KATRINE ANN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:KATRINE
Middle Name:ANN
Last Name:SETTERSTROM
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 1:309 GRANITE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2880
Mailing Address - Country:US
Mailing Address - Phone:406-491-2116
Mailing Address - Fax:
Practice Address - Street 1:1050 S MONTANA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2840
Practice Address - Country:US
Practice Address - Phone:406-533-2973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-37831101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional