Provider Demographics
NPI:1821138660
Name:BURGER, NATALIE F SEA (LCPC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:F SEA
Last Name:BURGER
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 1:201 W MADISON AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3958
Mailing Address - Country:US
Mailing Address - Phone:406-570-9345
Mailing Address - Fax:
Practice Address - Street 1:201 W MADISON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3958
Practice Address - Country:US
Practice Address - Phone:406-570-9345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC 1131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0256555Medicaid
MT741920OtherPIN BCBS