NPI 1205313806 · live from the CMS NPI Registry
Advanced Counseling Bozeman
Social Worker, Clinical in Bozeman, MT. National Provider Identifier 1205313806, active.
NPI record
| NPI | 1205313806 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1924 W. Stevens St. Suite 202, Bozeman, MT 59718 |
| Practice phone | 406-595-3746 |
| Mailing address | P.O. Box 4734, Bozeman, MT 59772 |
| Enumerated | July 26, 2018 |
| Last updated | September 20, 2024 |
| Authorized official | Erin Clark, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 30112 (MT) |
| Counselor, Mental Health | 101YM0800X | 30112 (MT) |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.