Traci Nicole Lamere -Caplette, LAC 55752
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Box Elder, MT
NPI 1891994000 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1891994000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 55752 (MT)
- Practice address
- RR 1 Box 664
Box Elder, MT 59521-9797 - Phone
- (406) 395-4818
- Fax
- (406) 395-4861
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55752 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 55752 | MT | Yes |
Addresses
Primary practice location
RR 1 Box 664
Box Elder, MT 59521-9797
Mailing address
6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Phone (406) 395-4818
Other providers in Box Elder, MT
- Robert Ingram
- Stephen Jaeger
- Jennifer Marie Jenkins
- Lorrie Keller
- Tina King
- Kelly Ann Lawson
- Corey Tyrone Lee
- Gloria Little
- Elizabeth Rae Lodge Pole
- Bonnie Lynn Longknife
All providers in Box Elder, MT · Addiction (Substance Use Disorder) Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.