Individual
MRS. AMY E RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSCIH, LCPC
Contact information
Practice address
2050 FAIRWAY DR STE 202, BOZEMAN, MT 59715-5810
(406) 579-1740
Mailing address
4774 EDEN RD, BOZEMAN, MT 59718-9759
(406) 579-1740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1033
MT
101YP2500X
Professional Counselor
1033
MT
103TB0200X
Cognitive & Behavioral Psychologist
1033
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742180
BCBSMT PROVIDER ID
MT
Enumeration date
03/16/2007
Last updated
10/14/2015
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