NPI 1205110715 · live from the CMS NPI Registry
Candace J Anderson, LCPC
Counselor, Professional in Bozeman, MT. National Provider Identifier 1205110715, active.
NPI record
| NPI | 1205110715 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1940 W Dickerson St Ste 102, Bozeman, MT 59718 |
| Practice phone | 406-451-4704 |
| Enumerated | October 3, 2011 |
| Last updated | January 3, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 1586 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.