Provider Demographics
NPI:1780832626
Name:MARSH, MEGAN HELENE (MS, LCPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:HELENE
Last Name:MARSH
Suffix:
Gender:F
Credentials:MS, LCPC
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 524
Mailing Address - Street 2:110 S ADAMS
Mailing Address - City:BOULDER
Mailing Address - State:MT
Mailing Address - Zip Code:59632-0524
Mailing Address - Country:US
Mailing Address - Phone:406-539-3508
Mailing Address - Fax:
Practice Address - Street 1:616 HELENA AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3654
Practice Address - Country:US
Practice Address - Phone:406-449-3120
Practice Address - Fax:406-449-3125
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1362101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor