Individual
MRS. KATIE AMBER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1174 STONERIDGE DR, BOZEMAN, MT 59718-9850
(406) 551-6295
Mailing address
3000 OLIVER ST, BOZEMAN, MT 59718-6067
(406) 920-1499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
56655
MT
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
10/22/2022
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