Provider Demographics
NPI:1770818569
Name:STROZYK, COREEN M (LCPC)
Entity Type:Individual
Prefix:
First Name:COREEN
Middle Name:M
Last Name:STROZYK
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 1:343 EL CAPITAN LOOP
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6004
Mailing Address - Country:US
Mailing Address - Phone:406-590-1760
Mailing Address - Fax:
Practice Address - Street 1:343 EL CAPITAN LOOP
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6004
Practice Address - Country:US
Practice Address - Phone:406-590-1760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1447101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health