# ADVANCED COUNSELING BOZEMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205313806
- **Authorized official:** ERIN N CLARK MSW, LCSW (OWNER)
- **Authorized official phone:** (406) 595-3746

## Contact information

- **Practice address:** 1924 W. STEVENS ST. SUITE 202, BOZEMAN, MT 59718
- **Practice address phone:** (406) 595-3746
- **Practice address fax:** (406) 578-1363
- **Mailing address:** P.O. BOX 4734, BOZEMAN, MT 59772
- **Mailing address phone:** (406) 595-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 30112 | MT | — |
| 101YM0800X | Mental Health Counselor | 30112 | MT | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 09/20/2024