Individual
MS. NILDA SOTO BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
109 N 4TH ST, SUITE 203, HAMILTON, MT 59840-2401
(406) 363-5386
Mailing address
855 BEAR CREEK TRL RD, VICTOR, MT 59875
(406) 642-3522
(406) 642-9768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1243
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257210
—
MT
01
—
743300
BLUE CROSS BLUE SHIELD
MT
Enumeration date
06/23/2006
Last updated
06/26/2013
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