Provider Demographics
NPI:1912042318
Name:CATRON-GINGERELLI, LIBBY JONES (LCPC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:LIBBY
Middle Name:JONES
Last Name:CATRON-GINGERELLI
Suffix:
Gender:F
Credentials:LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8975
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59807-8975
Mailing Address - Country:US
Mailing Address - Phone:406-370-6626
Mailing Address - Fax:
Practice Address - Street 1:736A S 1ST ST W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-1844
Practice Address - Country:US
Practice Address - Phone:406-370-6626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1168101YA0400X
MT1496101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)