Individual
KATIE LYNN MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
18 CEDAR ST, ANACONDA, MT 59711-2308
(406) 560-6736
(406) 389-8951
Mailing address
321 FAIRVIEW ST S, ANACONDA, MT 59711-2083
(406) 560-6736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-17380
MT
101YP2500X
Professional Counselor
17380
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
MT
Enumeration date
04/28/2016
Last updated
08/30/2024
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