Individual
NICOLETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2246 BOOTHILL CT STE 3, BOZEMAN, MT 59715-7213
(406) 579-4984
Mailing address
2246 BOOTHILL CT STE 3, BOZEMAN, MT 59715-7213
(406) 579-4984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
59635
MT
Other
Enumeration date
12/05/2022
Last updated
12/14/2022
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