| Doctor Name: | MRS. LYNDA M FICHTNER |
| NPI Number: | 1023232634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LAC |
| License Number: | LAC 1036 |
| Business Practice Address: | 101 E Broadway St Suite 405 Missoula, MT - 598024532 |
| Business Phone Number: | 4063601946 |
| Business Fax Number: | |
| Mailing Address: | 2520 Stratford Ln, MISSOULA |
| State: | MT |
| Postal Code: | 598085888 |
| Phone Number: | 4063601946 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LAC 1036 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |