Doctor Name: | MRS. NANCY K REPPE |
NPI Number: | 1063544054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 435 |
Business Practice Address: | 1321 8th Ave N Suite 203 Great Falls, MT - 594011646 |
Business Phone Number: | 4064521190 |
Business Fax Number: | 4064521190 |
Mailing Address: | Po Box 7297, GREAT FALLS |
State: | MT |
Postal Code: | 594067297 |
Phone Number: | 4064521190 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |