Individual
ANNE CHRISTINE WYSOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LAC, SEP
Contact information
Practice address
1045 REEVES RD STE D, BOZEMAN, MT 59718-7701
(406) 624-9131
Mailing address
652 SPRINGHILL LN, BOZEMAN, MT 59715-9321
(406) 624-9131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-50451
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-62246
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-43491
MT
Other
Enumeration date
12/29/2021
Last updated
01/28/2026
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