Provider Demographics
NPI:1649358755
Name:FROST, BECKY J (LCPC, MA)
Entity type:Individual
Prefix:MS
First Name:BECKY
Middle Name:J
Last Name:FROST
Suffix:
Gender:
Credentials:LCPC, MA
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 7774
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59807-7774
Mailing Address - Country:US
Mailing Address - Phone:406-546-9455
Mailing Address - Fax:406-728-5178
Practice Address - Street 1:235 N 1ST ST W
Practice Address - Street 2:STE C
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-3661
Practice Address - Country:US
Practice Address - Phone:406-546-9455
Practice Address - Fax:406-728-5178
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1188101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health