Provider Demographics
NPI:1174869663
Name:NELSON, BARBARA ANN (LCPC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:CROXFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 3089
Mailing Address - Street 2:CENTER FOR MENTAL HEALTH
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-3089
Mailing Address - Country:US
Mailing Address - Phone:406-761-2100
Mailing Address - Fax:406-761-2107
Practice Address - Street 1:1800 19TH AVE S
Practice Address - Street 2:CENTER FOR MENTAL HEALTH/SUNNYSIDE ELEMENTARY
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-6130
Practice Address - Country:US
Practice Address - Phone:406-761-2100
Practice Address - Fax:406-761-2107
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000748110OtherBLUE CROSS-SHIELD OF MONTANA