NPI 1720730153 · live from the CMS NPI Registry
Shannon R Agee-Jones, PCLC
Counselor, Mental Health in Bozeman, MT. National Provider Identifier 1720730153, active.
NPI record
| NPI | 1720730153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1096 Alder Creek Dr, Bozeman, MT 59715 |
| Practice phone | 406-431-3593 |
| Mailing address | 110 S Grand Ave, Bozeman, MT 59715 |
| Enumerated | January 26, 2022 |
| Last updated | January 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | BBH-PCLC-LIC-48958 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.