Provider Demographics
NPI:1295457851
Name:KIRSCH, JULIE A
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2718
Mailing Address - Country:US
Mailing Address - Phone:406-535-6545
Mailing Address - Fax:406-535-6546
Practice Address - Street 1:311 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2770
Practice Address - Country:US
Practice Address - Phone:406-535-6545
Practice Address - Fax:406-535-6546
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)