Individual
EMILY DANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 STADIUM DR STE B, BOZEMAN, MT 59715-0623
(406) 747-0126
Mailing address
1970 STADIUM DR STE B, BOZEMAN, MT 59715-0623
(406) 747-0126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-55796
MT
101YP2500X
Professional Counselor
BBH-LCPC-LIC-55796
MT
Other
Enumeration date
03/28/2023
Last updated
02/12/2024
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