| Tricia Lynn Wagner, LCPC, LAC | |
|
505 W Main St, Suite 318, Lewistown, MT 59457-5703 | |
| (406) 366-5934 | |
| Not Available |
| Full Name | Tricia Lynn Wagner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 505 W Main St, Lewistown, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730335282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC1413 (Montana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1379-LCPC (Montana) | Primary |
| Entity Name | Montana Childrens Home & Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811056898 PECOS PAC ID: 0345259024 Enrollment ID: O20100406000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Lynn Wagner, LCPC, LAC 1241 Lucchese Road, Helena, MT 59602 Ph: (406) 366-5934 | Tricia Lynn Wagner, LCPC, LAC 505 W Main St, Suite 318, Lewistown, MT 59457-5703 Ph: (406) 366-5934 |
Maggie Moffatt, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 505 W Main St, Suite 225, Lewistown, MT 59457 Phone: 406-538-5990 Fax: 406-538-4564 | |
Lynda Adelle Reiman, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Wendell Ave, Lewistown, MT 59457 Phone: 406-538-7483 Fax: 406-538-7491 | |
Eri Ogami Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 320, Lewistown, MT 59457 Phone: 912-318-5080 | |
Teresa Ann Mckibben, MS, PC Counselor Medicare: Medicare Enrolled Practice Location: 408 Wendell Ave, Lewistown, MT 59457 Phone: 406-535-1502 | |
Mrs. Monica Braulick, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 W Main St Ste 2, Lewistown, MT 59457 Phone: 406-380-2258 | |
Deanna R Stevenson, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 712 W Water St, Lewistown, MT 59457 Phone: 406-535-5990 Fax: 406-535-4564 | |
Kurt Mccaulay, MSW, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 W Main St, Lewistown, MT 59457 Phone: 406-707-0437 |