Individual
GEORGE FAEGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W MAIN ST STE 2G, BOZEMAN, MT 59715-4689
(406) 384-5774
Mailing address
PO BOX 982, BOZEMAN, MT 59771-0982
(612) 554-5409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71040
MT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/02/2023
Last updated
07/24/2024
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