# ROCKY MOUNTAIN PSYCHOTHERAPY & NEUROFEEDBACK

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

## Provider details

- **NPI number:** 1417493883
- **Authorized official:** DOROTHY ROGERS (OWNER)
- **Authorized official phone:** (406) 396-3500

## Contact information

- **Practice address:** 2601 S 3RD ST W, MISSOULA, MT 59804-1143
- **Practice address phone:** (406) 396-3500
- **Mailing address:** 2601 S 3RD ST W, MISSOULA, MT 59804-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-20257 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-656 | MT | Yes |

## Other

- **Enumeration date:** 01/10/2017
- **Last updated:** 01/10/2017