Provider Demographics
NPI:1942834726
Name:ARMSTRONG, KATELYN ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:ANN
Last Name:ARMSTRONG
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 1:3111 BUTTERCUP LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9311
Mailing Address - Country:US
Mailing Address - Phone:307-690-2228
Mailing Address - Fax:
Practice Address - Street 1:3111 BUTTERCUP LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-9311
Practice Address - Country:US
Practice Address - Phone:307-690-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-31475101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional