Organization
ANNEMARIE DUBOIS, LCSW, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEMARIE DUBOIS LCSW (THERAPIST)
(802) 999-4559
Entity
Organization
Contact information
Practice address
1351 STONERIDGE DR STE D, BOZEMAN, MT 59718-7079
(802) 999-4559
Mailing address
PO BOX 4193, BOZEMAN, MT 59772-4193
(802) 999-4559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SWP-LCSW-LIC-4591
MT
261QM0850X
Adult Mental Health Clinic/Center
SWP-LCSW-LIC-4591
MT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
SWP-LCSW-LIC-4591
MT
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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