Individual
MS. PAULA LYNN EHRMANTRAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS MED LCPC CSP
Contact information
Practice address
514 AMERICAS WAY PMB 2333, BOX ELDER, SD 57719
(406) 853-6020
Mailing address
514 AMERICAS WAY PMB 2333, BOX ELDER, SD 57719
(406) 853-6020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1196 LCPC
MT
101YP2500X
Professional Counselor
12837443-6004
UT
101YP2500X
Professional Counselor
Primary
LPC-MH30682
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256906
—
MT
Enumeration date
06/22/2006
Last updated
09/23/2024
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