Provider Demographics
NPI:1861464570
Name:MEADE, KATHRYN ADCOX (LCPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ADCOX
Last Name:MEADE
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 1:30 WAGON LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-6206
Mailing Address - Country:US
Mailing Address - Phone:406-452-1154
Mailing Address - Fax:
Practice Address - Street 1:621 1ST AVE S
Practice Address - Street 2:CENTER FOR MENTAL HEALTH/NDC
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3606
Practice Address - Country:US
Practice Address - Phone:406-761-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT908 LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000740523OtherBLUE CROSS/SHIELD OF MONT