Individual
MARY F LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1184 N 15TH AVE, SUITE 3, BOZEMAN, MT 59715-3291
(406) 586-4600
Mailing address
1610 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
800
MT
Other
Enumeration date
08/02/2006
Last updated
01/05/2011
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