Provider Demographics
NPI:1952310153
Name:KLEIN, STUART (LCPC)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:
Last Name:KLEIN
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-1201
Mailing Address - Country:US
Mailing Address - Phone:496-449-7531
Mailing Address - Fax:406-443-5628
Practice Address - Street 1:2969 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-1201
Practice Address - Country:US
Practice Address - Phone:496-449-7531
Practice Address - Fax:406-443-5628
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT803LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0250070Medicaid