Provider Demographics
NPI:1184285306
Name:WATT, ALISON FAY (MS, LCPC, LAC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:FAY
Last Name:WATT
Suffix:
Gender:F
Credentials:MS, LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 LINCOLN LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3247
Mailing Address - Country:US
Mailing Address - Phone:406-927-3108
Mailing Address - Fax:
Practice Address - Street 1:1071 LINCOLN LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3247
Practice Address - Country:US
Practice Address - Phone:406-927-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-37598101YA0400X
MTBBH-LCPC-LIC-42861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)