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Individual

MRS. SUSAN MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3021 3RD AVE N, BILLINGS, MT 59101-1940
(406) 294-5090
(406) 294-5091
Mailing address
3021 3RD AVE N, BILLINGS, MT 59101-1940
(406) 294-5090
(406) 294-5091

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SWP-LCPC-477
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SWP-LCPC-477
LICENSED CLINICAL PROFESSIONAL COUNSELOR
MT
Enumeration date
01/28/2015
Last updated
01/28/2015
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