Individual
JULIETTE C SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
2050 FAIRWAY DRIVE, 104, BOZEMAN, MT 59715
(406) 570-6646
Mailing address
808 S. 6TH AVE, BOZEMAN, MT 59715
(406) 570-6646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4472
MT
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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