Provider Demographics
NPI:1518226679
Name:FREW, SUSAN LYNNE (LCPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LYNNE
Last Name:FREW
Suffix:
Gender:F
Credentials:LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22236
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-2236
Mailing Address - Country:US
Mailing Address - Phone:406-850-3408
Mailing Address - Fax:406-206-0393
Practice Address - Street 1:1215 24TH STREET WEST SUITE 255
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3894
Practice Address - Country:US
Practice Address - Phone:406-850-3408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2282106H00000X
MT2276101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist