Individual
TONY SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1902 W DICKERSON ST STE 208, BOZEMAN, MT 59718-6852
(406) 581-4401
Mailing address
1902 W DICKERSON ST STE 208, BOZEMAN, MT 59718-6852
(406) 581-4401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22995
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22995
LICENSED CLINICAL PROFESSIONAL COUNSELOR
MT
Enumeration date
06/22/2017
Last updated
06/22/2017
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