Individual
MRS. LYNDA M FICHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
101 E BROADWAY ST STE 608, MISSOULA, MT 59802-4597
(406) 360-1946
Mailing address
101 E BROADWAY ST STE 608, MISSOULA, MT 59802-4597
(406) 360-1946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC 1036
MT
1041C0700X
Clinical Social Worker
Primary
LCSW 683
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042107
—
MT
01
—
71735
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
04/13/2007
Last updated
01/01/2025
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