Provider Demographics
NPI:1972661346
Name:MARQUARD, DEBBIE (LCPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:MARQUARD
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 1:2818 BROOKWAY DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-4801
Mailing Address - Country:US
Mailing Address - Phone:406-672-6275
Mailing Address - Fax:406-702-1161
Practice Address - Street 1:2409 ARNOLD LN STE 3
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3885
Practice Address - Country:US
Practice Address - Phone:406-672-6275
Practice Address - Fax:406-702-1161
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT744610OtherBCBS