Individual
ELLEN VANDEKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
825 GREAT NORTHERN BLVD STE 326, HELENA, MT 59601-3392
(406) 850-6595
Mailing address
825 GREAT NORTHERN BLVD STE 326, HELENA, MT 59601-3392
(406) 850-6595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-55123
MT
101YP2500X
Professional Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316691710
—
MT
01
—
BBH-LCPC-LIC-55123
LICENSED CLINICAL PROFESSIONAL
MT
Enumeration date
02/05/2022
Last updated
05/18/2022
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