Organization
LYNN MARIE GROSULAK LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARIE GROSULAK LCPC (OWNER)
(406) 855-9446
Entity
Organization
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
1114 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000741370
BCBS
MT
05
—
0256173
—
MT
Enumeration date
04/15/2008
Last updated
11/13/2009
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