Provider Demographics
NPI:1598828162
Name:LOHNING, STEPHEN G (MA, LAC,LCPC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:G
Last Name:LOHNING
Suffix:
Gender:M
Credentials:MA, LAC,LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 RATTLESNAKE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3019
Mailing Address - Country:US
Mailing Address - Phone:406-549-7301
Mailing Address - Fax:
Practice Address - Street 1:126 E BROADWAY ST STE 11
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4511
Practice Address - Country:US
Practice Address - Phone:406-549-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT240170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS