Provider Demographics
NPI:1386277101
Name:CONARD, SHAUNA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:MARIE
Last Name:CONARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9213
Mailing Address - Country:US
Mailing Address - Phone:406-404-7510
Mailing Address - Fax:406-404-7530
Practice Address - Street 1:53 W GRANITE ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-9213
Practice Address - Country:US
Practice Address - Phone:406-404-7510
Practice Address - Fax:406-404-7530
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT391301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical