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Individual

TIFFANY ANN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
40 LAST CHANCE GULCH, HELENA, MT 59601
(406) 202-4495
Mailing address
1565 VALLEY FORGE RD, HELENA, MT 59602-7375
(406) 202-4495

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-1497
MT
101YP2500X
Professional Counselor
1497
MT
106H00000X
Marriage & Family Therapist
IMF# 52227
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000745950
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
05/30/2007
Last updated
08/14/2020
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