STEWART ANDREW MCCRACKEN


Address: 491 Shaw Gulch Ln, Superior, MT 59872-0124
Phone: 4063046371

STEWART ANDREW MCCRACKEN (NPI# 1578823589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578823589
Entity Type Individual
Full Name STEWART ANDREW MCCRACKEN
Credential LAC
Practice Address 491 Shaw Gulch Ln
Superior
MT 59872-0124
Mailing Address Po Box 124
Superior
MT 59872-0124
Practice Telephone 4063046371
Practice Fax Number 8662613089
Mailing Telephone 4063046371
Mailing Fax Number 8662613089
Enumeration Date 2012-05-23
Last Update Date 2020-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1951 MT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 1265066500 05

Office Location

Street Address 491 SHAW GULCH LN
City SUPERIOR
State MT
Zip Code 59872-0124

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265943237 Tyler Quintinn Steinebach Emergency Medical Technician, Intermediate 502 Main Avenue, Superior, MT 59872 2017-10-18
1386160976 Leann Joyce Anderson Counselor 304 4th Ave E, Superior, MT 59872 2017-08-16
1386043289 Charles D. Avery Massage Therapist 120 Second Ave E., Superior, MT 59872 2014-08-15
1811208929 Brenda Kh Reynolds Massage Therapist 400 Tami Dr E, Superior, MT 59872 2010-06-24
1588852578 Superior Elementary School Community Based Residential Treatment Facility, Mental Illness 1003 5th Avenue East, Superior, MT 59872 2007-10-04
1285702670 Dana W Austin Physical Therapist 406 2nd Avenue East, Superior, MT 59872 2006-12-01
1508877291 Victor Labarre Stampley Social Worker 405 Brooklyn Avenue, Superior, MT 59872 2006-08-10
1235178906 Superior Volunteer Fire Company Inc Ambulance 310 River St, Superior, MT 59872 2006-06-06
1376637470 Missoula Community Health Services, Inc. Family Medicine 1208 6th Ave E, Superior, MT 59872 2006-10-03
1265066500 Masc LLC Counselor 491 Shaw Gulch Lane, Superior, MT 59872-0214 2020-02-25
Find all providers in zip 59872

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518580182 Michele Denise Perron Counselor 912 Baxter Ave, Superior, WI 54880-1735 2020-05-18
1265066500 Masc LLC Counselor 491 Shaw Gulch Lane, Superior, MT 59872-0214 2020-02-25
1386160976 Leann Joyce Anderson Counselor 304 4th Ave E, Superior, MT 59872 2017-08-16
1578090049 Barbara Titus Counselor 1810 Belknap St, Superior, WI 54880-2595 2017-05-16
1346636115 Debra Rybos Counselor 2120 John Ave, Superior, WI 54880-4923 2015-04-08
1083036305 Stephanie Quick Counselor 405 Brooklyn St, Superior, MT 59872-9607 2014-01-07
1245558840 Choices, Inc. Counselor 304 4th Ave. E, Superior, MT 59872-0622 2010-05-07
1770716771 Rae Jean Bergner Counselor 1500 N 34th St Ste 200, Superior, WI 54880-4477 2009-08-25
1831371350 Elizabeth B Byler Counselor 1531 Hughitt Ave, Superior, WI 54880-2855 2007-11-27
1457576779 Joseph Walter Knotts Counselor 1926 E 2nd St, Apt. 8, Superior, WI 54880-3578 2007-04-13
Find all providers in SUPERIOR

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City SUPERIOR
Zip Code 59872

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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