Individual
CANDACE J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1940 W DICKERSON ST STE 102, BOZEMAN, MT 59718-6851
(406) 451-4704
Mailing address
1940 W DICKERSON ST STE 102, BOZEMAN, MT 59718-6851
(406) 451-4704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1586
MT
Other
Enumeration date
10/03/2011
Last updated
01/03/2013
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