Provider Demographics
NPI:1740629195
Name:BEAUDRY, ANNETTE M (LCSW, CMH7)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:BEAUDRY
Suffix:
Gender:F
Credentials:LCSW, CMH7
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:M
Other - Last Name:DARKENWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CMH7
Mailing Address - Street 1:PO BOX 35100
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-5100
Mailing Address - Country:US
Mailing Address - Phone:406-238-2500
Mailing Address - Fax:
Practice Address - Street 1:1020 N 27TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-238-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT45731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical