NPI 1962053314 · live from the CMS NPI Registry
Ian Anderson
Counselor, Professional in Bozeman, MT. National Provider Identifier 1962053314, active.
NPI record
| NPI | 1962053314 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1807 W Dickerson St Ste D, Bozeman, MT 59715 |
| Practice phone | 406-219-8321 |
| Mailing address | 601 S Grand Ave, Bozeman, MT 59715 |
| Enumerated | September 26, 2019 |
| Last updated | April 25, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | BBH-PCLC-LIC-38594 (MT) |
| Counselor, Professional primary | 101YP2500X | BBH-LCPC-LIC-55424 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.