Provider Demographics
NPI:1154406379
Name:ENGLISH-STRAUB, CATHRYN DIANE (LCSW, LAC)
Entity type:Individual
Prefix:MRS
First Name:CATHRYN
Middle Name:DIANE
Last Name:ENGLISH-STRAUB
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 HELENA AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3654
Mailing Address - Country:US
Mailing Address - Phone:406-449-1510
Mailing Address - Fax:406-442-7271
Practice Address - Street 1:616 HELENA AVE STE 301
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3654
Practice Address - Country:US
Practice Address - Phone:406-449-1510
Practice Address - Fax:406-442-7271
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLAC-761101YA0400X
MTLCSW-554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000502928Medicaid
MT07044-5OtherBLUECROSS/BLUESHIELD