Provider Demographics
NPI:1548664253
Name:AUCOIN, STACY MONTAIGNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:MONTAIGNE
Last Name:AUCOIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:STACY
Other - Middle Name:AUCOIN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:810 HUNTERS WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718
Mailing Address - Country:US
Mailing Address - Phone:406-579-5072
Mailing Address - Fax:
Practice Address - Street 1:102 S. 19TH
Practice Address - Street 2:SUITE #5
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718
Practice Address - Country:US
Practice Address - Phone:406-579-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical