Individual
FAITH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W KAGY BLVD STE I, BOZEMAN, MT 59715-6043
(406) 404-6752
Mailing address
1316 DEEP WELL RD, STEVENSVILLE, MT 59870-6946
(406) 370-8886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
09/03/2024
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