Provider Demographics
NPI:1245333210
Name:BARTSCH, MARY KATHLEEN (RN, LCPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KATHLEEN
Last Name:BARTSCH
Suffix:
Gender:F
Credentials:RN, LCPC
Other - Prefix:
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Mailing Address - Street 1:3640 GREEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7403
Mailing Address - Country:US
Mailing Address - Phone:406-449-3215
Mailing Address - Fax:
Practice Address - Street 1:1892 WILLIAMS ST
Practice Address - Street 2:VA MONTANA HEALTHCARE SYSTEM-PSYCHIATRY DEPARTMENT
Practice Address - City:FORT HARRISON
Practice Address - State:MT
Practice Address - Zip Code:59636
Practice Address - Country:US
Practice Address - Phone:406-447-7598
Practice Address - Fax:406-447-7965
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT928101YP2500X
MT7264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered163W00000XNursing Service ProvidersRegistered Nurse