Provider Demographics
NPI:1972635506
Name:DUGAN LAEMMLE, ELLA (LCPC)
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:DUGAN LAEMMLE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:MT
Mailing Address - Zip Code:59037-0067
Mailing Address - Country:US
Mailing Address - Phone:406-860-4265
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1001 S 24TH ST W
Practice Address - Street 2:SUITE 318
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7420
Practice Address - Country:US
Practice Address - Phone:406-860-4265
Practice Address - Fax:406-294-0967
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT349LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000074931OtherBCBS
MT0252057Medicaid