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Individual

LYNN GROSULAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
710 GRAND AVE, SUITE #6, BILLINGS, MT 59101-5852
(406) 855-9446
(406) 294-0967
Mailing address
PO BOX 20794, BILLINGS, MT 59104-0794
(406) 855-9446
(406) 294-0967

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1114LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000741370
BCBS
MT
05
0256173
MT
Enumeration date
11/09/2006
Last updated
11/13/2009
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