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Organization
EATING DISORDER CENTER OF MONTANA
Active
Organization
EATING DISORDER CENTER OF MONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENI RUTH GOCHIN LMFT, LCPC (CLINICAL DIRECTOR)
(805) 637-4900
Entity
Organization
Contact information
Practice address
14 S WILLSON AVE, SUITE 102, BOZEMAN, MT 59715-6232
(805) 637-4900
(406) 551-1209
Mailing address
14 S WILLSON AVE, SUITE 102, BOZEMAN, MT 59715-6232
(805) 637-4900
(406) 551-1209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163WG0000X
General Practice Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/29/2013
Last updated
08/28/2020
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