Wellformed AI

NPI 1508496043 · live from the CMS NPI Registry

Tobi Jean Bakken, MS, LCPC

Counselor, Professional in Bozeman, MT. National Provider Identifier 1508496043, active.

NPI record

NPI1508496043 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location506 S 12th Ave, Bozeman, MT 59715
Practice phone406-579-0412
EnumeratedJanuary 23, 2020
Last updatedJanuary 23, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X42543 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.